| 巨大左心房患者经皮球囊二尖瓣成形术20例 |
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| 引用本文： | 李起栋,苏长兴,洪钰锟,廖凯. 巨大左心房患者经皮球囊二尖瓣成形术20例[J]. 临床军医杂志, 2002, 30(3): 7-9 |
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| 作者姓名： | 李起栋 苏长兴 洪钰锟 廖凯 |
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| 作者单位： | 中国人民解放军庐山疗养院,江西,九江,332000 |
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| 摘 要： | 目的 探讨经皮球囊二尖瓣成形术 (PBMV)治疗风湿性心脏病二尖瓣狭窄伴巨大左心房患者的疗效。方法 在球囊直径选择、房间隙穿刺定位方法及球囊扩张操作等方面进行了改良。结果 2 0例病人手术全部成功 ,二尖瓣面积由 (0 .79±2 .9) cm2 增至 (1 .82± 0 .2 8) cm2 (P<0 .0 1 ) ,左房平均压由 (3 0 .7± 5 .1 ) mm Hg降至 (1 1 .4± 3 .7) mm Hg(P<0 .0 1 ) ,心功能明显改善。结论 PBMV治疗风湿性二尖瓣狭窄伴巨大左心房患者成功率高、疗效较好 ,在 PBMV术操作熟练后 ,对此类患者可作为首选方法之一
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| 关 键 词： | 二尖瓣狭窄 球囊成形术 巨大左心房 |
| 文章编号： | 1671-3826(2002)03-0007-03 |
| 修稿时间： | 2002-01-04 |
20 Cases Report on Percutaneous Balloon MitralValvuloplasty with Very Large Left Atrial Dimensim |
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| LI Qi dong,SU Chang xing,HONG Yu kun,LIAO Kai. 20 Cases Report on Percutaneous Balloon MitralValvuloplasty with Very Large Left Atrial Dimensim[J]. Clinical Journal of Medical Officer, 2002, 30(3): 7-9 |
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| Authors: | LI Qi dong SU Chang xing HONG Yu kun LIAO Kai |
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| Abstract: | Objective To evaluate the effect of percutaneous balloon mitral valvuloplasty(PBMV)on rehumatic mitral stenosis with very large left atrial dimensim Methods PBMV was performed on 20 patients, some operation procedure was changed Results After PBMV, the area of mitral valve increased from(0.79±2.9)cm 2 to(1.82±0.28)cm 2( P <0.01), the pressure of left atrium decreased from(30.7±5.1)mmHg to(11.4±3.7)mmHg( P <0.01) Conclusion PBMV is a safe and effective procedure for rehumatic mitral stenosis with very large left atrial dimensim |
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| Keywords: | mitral valve stenosis balloon mitral valvuloplasty very large left atria |
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