经皮球囊扩张术治疗二尖瓣狭窄的临床研究  

THE STUDY OF CURATIVE EFFECTS FOR PERCUTANEOUS BALLOON MITRAL VALVULOPLASTY IN PATIENTS WITH MITRAL STENOSIS

作　　者：朱兴雷[1] 张兴华[1] 王金峰[1] 沈承芳[1] 王克平[1] 邵建华[1] 

机构地区：[1]山东省立医院内科

出　　处：《山东医科大学学报》1996年第1期44-47,共4页Acta Academiae Medicinae Shandong

摘　　要：用经皮二尖瓣狭窄球囊扩张术（ＰＢＭＶ）治疗风湿性心脏病二尖瓣狭窄１０５例，手术前后二尖瓣口面积分别为０．９２±０．１８ｃｍ２和１．８６±０．２０ｃｍ２（Ｐ＜０．００１），左心房平均压力分别为２．５８±０．８２ｋＰａ和１．３４±０．６４ｋＰａ（Ｐ＜０．００１），左心房内径分别为４．６±０．４ｃｍ和４．４±０．３ｃｍ（Ｐ＜０．０５），心脏功能明显改善，平均每例好转１．３３级。术中术后无死亡和动脉栓塞病例，出现严重二尖瓣关闭不全、心包填塞、一过性低血压各１例，５例发生短暂性心动过缓，总成功率为９７％。Percutaneous single balloon mitral valvuloplasty(PBMV)was performed in 105 patients with mitral stenosis,of them male 30 and femle 75 cases. The mean age was 38.4 years( 18 to 60 years). The mean mitral value area was 0. 92 ±0. 18cm2 before PBMV and 1. 86 ± 0. 20cm2 after PBMV (P<0. 001 ). The mean left atrial pressure (LAP) was 2. 58±0. 82kpa and 1. 34 ± 0. 64kpa (P<0. 001 ) before and after PBMV respectively, and mean diameter of left atrium was 4. 6 ± 0. 4cm and 4. 4± 0. 3cm before and after PBMV respectively. The heart function was 1. 33 class better after PBMV than before. There was no case occurring death or developing arterial embolism during PBMV. There was one patient occurring cardiac tamponade and one patient developing mitral regurgitation,one case occurring transilient hypotension,and five patients occuring sinus bradycardia. The successful rate was 97%.

关 键 词：二尖瓣狭窄 瓣膜扩张术 球囊扩张术 

分 类 号：R542.51[医药卫生—心血管疾病]