【作者】 于洋；

【导师】 郦志军；

【作者基本信息】 浙江大学 ， 外科学， 2008， 硕士

【摘要】 目的:总结25例感染性心内膜炎的外科治疗经验。方法:25例中累及主动脉瓣14例、二尖瓣9例、三尖瓣6例、肺动脉瓣1例。在体外循环下清除赘生物及坏死组织,行AVR10例、MVR4例、TVR1例、PVR1例、MVP1例、TVP2例、AVR+TVR1例、AVR+MVP1例、MVR+TVP2例、AVR+MVR+TVP1例、主动脉瓣机械瓣瓣周漏修补加二尖瓣穿孔修补1例,所合并其他先天性心脏畸形均同期矫治。结果:本组25例病人无手术死亡,术后恢复良好,心功能均有不同程度改善。结论:感染性心内膜炎瓣膜损害的患者在内科治疗基础上,应尽早手术,远期预后较好。更多还原

【Abstract】 Objective:To review the surgical treatment of 25 patients with infective endocarditis.Methods:18 male and 7 female patients (mean age 40.5 years)with IE received surgical intervention under cardiopulmonary bypass. The aortic valve was involved in 14 patients, the mitral valve in 9 patients, the tricuspid valve in 6 patients, the pulmonary valve in 1 patient. Vegetations,infective valves and cardiac tissue were excised and debrided. 17 patients underwent valve replacement with mechanical prosthesis,3 patients underwent annuloplasty, 4 patients underwent valve replacement and annuloplasty at the same time ,1 patient received perivalvular leakage and valvular perforation repairment.Results:There was no operative death in the 25 patients ,all patients’ post-operation state were stable,their cardiac function were also improved.Conclusion:Early surgical intervention after medical treatment is recommended in patients with IE, The long-term prognosis will be better.更多还原