重症心脏瓣膜病的外科治疗  

Surgical treatment of severe valvular disease

作　　者：王嵩[1] 颜大亮 谢于峰 申江峰[1] 袁茂昆[1] Song WANG;Daliang YAN;Yufeng XIE;Jiangfeng SHEN;Maokun YUAN(Taizhou People’s Hospital,Taizhou 225300,China)

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《心血管外科杂志（电子版）》2020年第3期4-6,共3页Journal of Cardiovascular Surgery(Electronic Edition)

摘　　要：目的:探讨提高重症心脏瓣膜病外科治疗成功率、降低死亡率的方法。方法:回顾总结2015年1月-2018年12月我院重症瓣膜病手术治疗患者42例临床资料。结果:术后3例死亡,死亡率7.14%,2例死于多器官功能衰竭,1例死于肺部感染、急性肾功能衰竭,其余均好转出院。术后随访6-48个月,4例患者术后再发心衰,其中1例住院期间因华法林抗凝不足并发脑梗,经治疗后均好转出院,其余患者均恢复良好。结论:充分的术前准备,缩短手术时间,提高手术技术,精细化的术后管理,是重症瓣膜病治疗成功的关键。Objective:To explore the methods of improving the success rate of surgical treatment and reducing the mortality of severe valvular heart disease.Methods:From January 2015 to December 2018,42 patients with severe valvular disease underwent surgical treatment in our hospital were retrospectively reviewed.Results:Three patients died,the mortality rate was 7.14%.Two died of multiple organ failure,one died of pulmonary infection and acute renal failure,and the others were discharged from hospital.The follow-up period was 6-48 months.Four patients suffered from heart failure after operation.One patient suffered from cerebral infarction due to warfarin anticoagulation deficiency during hospitalization.After treatment,all patients recovered well.Conclusion:Sufficient preoperative preparation,shorter operation time,better operation technique and fine post-operative management are the keys to successful treatment of severe valvular disease.re attacks,and it has certain differential diagnostic value for recurrent arrhythmic syncope which can not be ruled out.

关 键 词：重症瓣膜病 瓣膜成形 瓣膜置换 

分 类 号：R47[医药卫生—护理学]