三尖瓣关闭不全及介入治疗的围术期处理研究进展  

Progress in perioperative treatment of interventional therapy for patients with tricuspid regurgitation

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作  者:蒙延海[1] 李泽蒙 王水云[2] 张燕搏[1] MENG Yan-hai;LI Ze-meng;WANG Shui-yun;ZHANG Yan-bo(Adult Surgery ICU,State Key Laboratory of Cardiovascular Disease,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China;Adult Surgery,State Key Laboratory of Cardiovascular Disease,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China)

机构地区:[1]中国医学科学院,北京协和医学院国家心血管病中心,阜外医院,心血管疾病国家重点实验室成人术后恢复中心,北京市100037 [2]中国医学科学院,北京协和医学院国家心血管病中心,阜外医院,心血管疾病国家重点实验室成人外科中心,北京市100037

出  处:《中国心血管病研究》2025年第2期177-182,共6页Chinese Journal of Cardiovascular Research

基  金:中国医学科学院医学与健康科技创新工程项目(2024-I2M-C&T-B-046,2023-I2M-1-001);四大慢病重大专项(2023ZD0504500)。

摘  要:三尖瓣关闭不全(TR)是一个未被充分认识的临床问题,与显著的病死率相关。患者往往在病程后期出现严重的右心衰竭、肺动脉高压和全身症状,几乎没有很好的治疗选择。近来年对以前治疗选择有限的TR患者使用经导管三尖瓣介入治疗的研究越来越多。有关三尖瓣解剖、TR的病因和分类、三尖瓣介入治疗的围术期管理等需要进一步认识,本文综述了TR介入治疗的重要背景、解剖学考虑、介入治疗围术期处理等进展。Tricuspid valve regurgitation(TR)is a clinical problem that has not been fully recognized and is related with significant mortality rates.Patients often experience severe right heart failure,pulmonary hypertension and systemic symptoms in the later stages of the disease,with few good treatment options available.In recent years,there have been increasing studies on the use of transcatheter tricuspid valve therapy for TR patients with limited treatment options.Further understanding is needed regarding the anatomy of the tricuspid valve,the etiology and classification of TR and perioperative management of tricuspid valve intervention.This article summarizes the important background,anatomical considerations,and perioperative considerations for the treatment of TR.

关 键 词:三尖瓣关闭不全 经导管三尖瓣介入治疗 围手术期 

分 类 号:R542.5[医药卫生—心血管疾病]

 

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