再次心瓣膜置换术32例  

Cardiac Valve Re-replacement in 32 Cases

作　　者：严振球[1] 宁资社[1] 贺端清[1] 袁延才[1] 袁钰鑫[1] 

机构地区：[1]解放军第169医院心胸外科,湖南衡阳421002

出　　处：《临床军医杂志》2006年第5期570-571,共2页Clinical Journal of Medical Officers

摘　　要：目的 总结既往有心脏瓣膜手术史的患者再次或第3次瓣膜手术治疗的经验。方法 胸骨正中切口29例，右前外侧切口2例，左后外侧切口1例，行二尖瓣置换术23例，二尖瓣和主动脉瓣置换术5例，主动脉瓣置换术2例，左心室内细菌赘生物清除1例，瓣周漏修补1例。结果 无1例住院死亡，住院9～24d．出院时心功能改善至Ⅰ级28例，Ⅱ级4例。结论 适时再次心瓣膜置换术能有效改善患者预后。Objective To summarize the experience in the replacement of cardiac valve for the second or third time in the patients with the history of valve replacement. Methods Mid-sternal, right anterolateral and left post-lateral incisions were made respectively in twenty-nine, two and one case（s）. Mitral valve replacement was done in twenty-three cases, mitral and aortic valve replacement in five cases, aortic valve replacement in two cases, bacterial vegetation clearance in left ventricle in one case, and paravalvular leakage repair in one case. Results Hospitalization duration was 9 - 24 days, duaring which no one died. Twenty-eight patients left the hospital with an improvement in cardiac function to grade Ⅰ, and four with an improvement to grade Ⅱ. Conclu. sion The patients＇prognoses can be improved if re-replacement of cardiac valve is performed in good time.

关 键 词：再次心瓣膜置换术 手术时机 手术方法 心肌保护 

分 类 号：R654.2[医药卫生—外科学]