中老年房间隔缺损患者的手术治疗  

Surgical treatment of secundum atrial septal defect in the elderly

作　　者：赵子牛[1] 王胜利[2] 胡型锑[2] 赵琦峰[2] 杜杰[2] 章岳峰[2] 

机构地区：[1]河南省人民医院心血管外科,郑州市450003 [2]温州医学院第二附属医院心胸外科

出　　处：《实用诊断与治疗杂志》2006年第11期794-795,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的：总结中老年房间隔缺损患者手术治疗经验。方法：对36例〉45岁继发孔型房间隔缺损患者进行手术治疗，均伴有不同程度的心功能不全、心律失常、肺动脉高压或房室瓣功能障碍。房间隔缺损修补采用直接缝合或心包片修补，同期行三尖瓣戍形术10例，二尖瓣成形术3例。结果：36例患者术后恢复顺利，全组无死亡病例，术后随访3～48个月，同术前相比心功能明显改善。结论：对有手术适应证的中老年房间隔缺损患者进行手术治疗安全、有效。Objective To review the clinical experience of surgical treatment of secundum atrial septal defect in the elderly. Methods Thirty-six patients with a mean age of （52.3±16.4） years （45± 69 years） underwent surgical repair for secundum atrial septal defect. Concomitance cardiac anomaly was found, including cardiac dysfunctional symptoms, arrhythmias and pulmonary hypertension in different degree, and tricuspid valve regurgitation in 10 cases, mitral valve regurgitation in 3 cases. All of patients underwent direct suture closer or patch method, 10 cases received De Vega tricuspid valve repair, and 3 cases mitral valve repair. Results None died after surgery. A follow-up survey from 3 to 48 months showed cardiac function was significantly improved. Conclusion Operation should be performed in the elderly with atrial septal defect when the operation indication is confirmative. Surgical treatment of secundum atrial septal defect in the elderly is reliable and effective.

关 键 词：房间隔缺损 中老年 心脏外科手术 

分 类 号：R654.2[医药卫生—外科学]