同期施行冠状动脉搭挢和心脏瓣膜手术的临床分析  

Primary Experience of Combined Valvular and Myocardial Revascularization Operations

作　　者：陶杰[1] 张桂敏[1] 段冰松[1] 蔡冰[1] 段玉印[1] 

机构地区：[1]昆明医学院第一附属医院,云南昆明650032

出　　处：《昆明医学院学报》2010年第3期128-129,132,共3页Journal of Kunming Medical College

摘　　要：目的总结同期施行冠状动脉搭挢和心脏瓣膜手术的早期效果和经验.方法13例病人中6例为风湿性心脏瓣膜病合并冠状动脉病变,7例为冠心病合并心脏瓣膜功能不全.冠状动脉单支病变2例,其余为多支病变.13例均在全麻体外循环下同期施行冠状动脉搭挢和心脏瓣膜手术,同期室壁瘤手术3例,瓣膜置换12个,瓣膜成形3例次,人均搭挢1.74支.手术后低心排2例需主动脉内球囊反搏支持.结果13例病人取得了良好的临床效果,无手术死亡,心脏功能得到明显改善.结论同期施行冠状动脉搭挢和心脏瓣膜手术是有效可行的,近期效果满意.Objective To retrospectively review the primary experience of combined valvular and myocardial revascularization operation.Method Combined valvular and myocardial revascularization operation was performed in 13 patients,6 patient were rheumatic heart disease with coronary stenosis,and 7 patients were coronary disease with valvular dysfunction.Single vessel disease was in 2 patients and the others were multi-vessel disease.All the patients received combined valvular and myocardial revascularization operations under cardiopulmonary bypass.9 mechanical valves and 3 tissue valve were used and valvular plasty was done in 3 patients.The average number of grafts were 1.74.Post-operative intra-aortic balloon pump was required in 2 cases for low cardiac output syndrome.Result There is no operative mortality in this group.All patients recovered and were discharged with improved heart function.Conclusion Combined valvular and myocardial revascularization operations is effective with acceptable morbidity and mortality.

关 键 词：冠状动脉疾病 心脏瓣膜病 周期 

分 类 号：R654[医药卫生—外科学]