风心病心肌病理损害与术后早期心功能的关系  

The Relation Between Myocardial Pathological Damage with Rheumatic Heart Disease and Cardiac Function in Early Postoperation

作　　者：肖公正[1,2] 朱家麟 张宝仁 郝家骅 

机构地区：[1]解放军第五医院 [2]上海长海医院胸外科

出　　处：《西北国防医学杂志》1998年第1期23-24,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：评价风心病心肌病理损害与术后早期心功能的关系，指导围术期治疗。方法：３３例风心病患者分为二尖瓣狭窄组（ｎ＝１６）和二尖瓣关闭不全组（ｎ＝１７），观察其心肌病理损害变化；用Ｓｗａｎ－Ｇａｎｚ导管测量术后７２ｈ心排量和心脏指数。结果：心肌病理损害愈重，术后早期心功能恢复愈慢，反之亦然。结论：术后早期心功能的恢复与心肌病理损害程度有关。Purpose:To assess the relation between myocardial pathological damage with rheumatic heart disease and the cardial function in early postoperation to guide the perioperative treatment.Methods:33 rheumatic heart disease patients were divided into mitral stenosis group and mitral insufficient group.Their changes of myocardial pathological damage were observed by SwanGanz catheterization to measure the cardiac output and cardiac index in 72 hours postoperatively.Results:The worse the myocardial pathological damage,the slower the recovery of cardiac function,and the lesser the myocardial pathological damage,the faster the recovery of cardiac function in early postoperation.Conclusion:The recovery of cardiac function in early postoperation has a relation with the myocardial pathological damage.

关 键 词：风湿性心脏病 心肌疾病 手术疗法 术后监护 心功能 SWAN-GANZ导管 

分 类 号：R541.2[医药卫生—心血管疾病]