【摘要】 目的总结175例重症心脏瓣膜病的外科治疗结果,探讨提高早期生存率的措施。方法自1993年9月至2002年9月,对175例重症心脏瓣膜病患者施行瓣膜替换术。其中单纯二尖瓣病变78例,二尖瓣合并主动脉瓣病变88例,其它心脏病变9例。45例进行三尖瓣成形,16例进行左心房折叠术。39例部分或全部保留二尖瓣装置。结果175例中早期死亡9例,死亡率5%。术后并发低心排血量19例,心室颤动7例。随访137例,平均随访5年,死亡5例。结论对重症心脏瓣膜病患者,注重改善术前心功能,掌握手术时机。重视围术期处理,可提高手术成功率。更多还原

【Abstract】 Objective:To summarize the surgical treatment results of 175 cases of severe heart valve disease,and describe the measures for improving survival rate at early stage. Methods:From September 1993 to September 2002,we performed 175 valve replacements of severe heart valve disease. There were 78 males and 97 females,with mean age of 42 43±13 27 years. Seventy eight cases were of mitral disease,and 88 cases were of mitral and aortic disease. Fourty five cases of tricuspid valve incompetence underwent tricuspid valvuloplasty. Sixteen cases of giant left atrium underwent plication of left atrium.Thirty nine cases of mitral replacement had partial or total preservation of papillary muscles and chordae tendineae. Results:There were 9 deaths,with the mortality rate of 5%. Nineteen patients developed postoperative low cardiac output syndrome and 9 developed ventricular filtration. One hundred and thirty seven patients were followed up. The mean follow up time was 5 years. Five patients died. Conclusion:To improve the outcome of operation,perioperative management and optimum operative timing should be emphasized.更多还原