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三尖瓣替换术

Tricuspid Valve Replacement

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【作者】 任长裕蒋振斌王敏生

【Author】 Ren Changyu; Jiang Zhenbin; Wang Minsheng.(Shanghai Institute of Cardiovascular Diseases,Zhongshan Hospital, Shanghai Medical University ,Shanghai 200032)

【机构】 上海市心血管病研究所

【摘要】 总结1979年7月至1993年10月期间,31例原发三尖瓣病变病人施行三尖瓣替换术的经验。病人中男18例,女13例。年龄10~42岁,平均23岁。三尖瓣病变包括下移畸形23例、严重发育不良6例、Uhl's病1例、感染性心内膜炎1例。术前心功能II级者6例、III级19例和IV级6例。三尖瓣替换术后5例死亡,手术死亡率16.1%;26例顺利康复出院。4例分别于出院后48天、4年半、6年和11年晚期死亡,晚期死亡的主要原因为心力衰竭。术后5年生存率为66.6%,10年生存率63.6%。

【Abstract】 From July 1979 to Oct.1993,tricuspid valve replacement had been performed in 31 patient’s at the institute. It included 18 male and 13 female patients aged 10~42 years with an average of 23 year old. The tricuspid lesions included Ebstein anomaly in 23 cases, mal-development in 6, Uhl’s disease in 1 and bacterial endocarditis in1. The preoperative heart function was class II in 6 cases, class Ⅲ in 19 and class IV in 6 cases. Five patients died postoperatively with an operative mortality of 16.1%. Four late deaths occurred at 48 days,4.5,yrs,6 and 11 years respectively after their dischange from the hospital. As a whole the 5-years survival rate was 66.6%( 16/24 ) and 10-years survival rate was 63.6%(7/11).

  • 【文献出处】 中华胸心血管外科杂志 ,CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY , 编辑部邮箱 ,1996年02期
  • 【分类号】R654.2
  • 【被引频次】14
  • 【下载频次】26
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