31例急诊心脏瓣膜置换术的临床体会  

Clinical experience of urgent heart valve replacement operation in 31 patients

作　　者：王广阔[1] 李伦明[1] 蔡丽霞[1] 张志刚[1] 邓毅权[1] 成祥军[1] 梁湘源[1] WANG Guang-kuo LI Lun-ming CAI Li-xia et al(Department of Cardiac Surgery, Central Hospital of Jiangmen, Jiangmen 529000, Chin)

机构地区：[1]江门市中心医院心血管外科,广东省江门市529000

出　　处：《中国心血管病研究》2016年第9期818-821,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的 总结重症心脏瓣膜病急诊外科治疗的临床经验.方法 我院自2008年1月至2015年12月对31例重症心脏瓣膜病患者急诊施行心脏瓣膜置换术,男性18例,女性13例,年龄19～61（46.2±4.1）岁,体重38.5～62.7（48.7±4.2）kg,病程15 d至6个月,平均（30.2±7.2）d.其中感染性心内膜炎15例、二尖瓣重度狭窄7例、主动脉瓣重度狭窄6例、二尖瓣腱索急性断裂3例.结果 全组无手术死亡.术后2例出现低心排综合征,2例出现肾功能不全,经积极有效治疗后均痊愈出院.结论 符合手术指征的重症心脏瓣膜病患者急诊行心脏手术能够挽救患者生命,同时围术期需注意肾脏、肺脏等器官功能保护.Objective To review the experience of urgent heart valve replacement operation. Methods 31 patients underwent urgent heart valve replacement operation from January 2008 to December 2015, 18 males and 13 females, aged from 19 to 61 （46.2±4.1）years, the weight ranged from 38.5 to 62.7 （48.7±4.2）kg, the course of the disease from 15 d to 6 months （30.2±7.2）d. 15 patients had infectious endoearditis, 7 patients had severe mitral stenosis, 6 patients had severe aortic stenosis, 3 patients had rupture of chordae of mitral valve. Results There were no operative deaths. There were 2 cases of patients with low cardiac output syndrome and 2 patients with acute renal failure. All patients were clinical cured. Conclusion The patients with severe valvular heart disease should accept the urgent valve replacement if they fit the operation indication, and the protection of lung and kidney should be noticed.

关 键 词：急诊 瓣膜置换术 手术 

分 类 号：R654.2[医药卫生—外科学]