摘要
目的:以回顾性研究总结大左室心脏瓣膜病的外科治疗经验。方法:84例大左室心脏瓣膜病患者行外科手术治疗,二尖瓣置换术55例,主动脉瓣置换术7例,二尖瓣置换+主动脉瓣置换术22例。术前充分准备,术中采用低温冷血停搏液灌注,加强心肌保护,注意保留二尖瓣后瓣及瓣下结构,术后积极防治并发症。结果:本组术后早期发生并发症(低心排,肺部感染,肝肾功能不全等)22例,治愈出院62例。结论:大左室心脏瓣膜病患者行外科手术治疗风险大,术后并发症多;全面综合的外科治疗是大左室心脏瓣膜病患者顺利康复的关键。
Objective：To summarize retrospectively the experience of the surgical treatment of valvular heart disease with large left ventricle.Method：Eighty-four patients suffered from valvular heart disease with large left ventricle were treated by surgical operation,including mitral valve replacement in fifty-five cases,aortic valve replacement in seven cases,com-bined mitral and aortic valve replacement in twenty-two cases.With the adequate preoperative preparation,the cardiac functions were improved before the operation.During the operation,the Hypothermia blood cardioplegia was perfused into the heart,and myocardial protection was strengthened.The posterior valve of mitral valve and the structure beneath the valve were retained.Post-operative complications were prevented and cured.Result：The early postoperative complications（low output syndrome,lung infection,hepatic or renal insufficiency）occurred in twenty-two cases.Sixty-four patients were successfully treated.Conclusion：The surgical treatment of valvular heart disease with large left ventricle is very dangerous to the patients and the patients may suffer from many complications.So the comprehensive surgical treatment is very important to the successful rehabilitation.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2010年第3期190-192,共3页
Journal of Clinical Cardiology
关键词
瓣膜置换术
大左室
心脏瓣膜病
外科治疗
valve replacement
large left ventricular
valvular heart disease
surgical treatment
