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心脏瓣膜置换术48例围手术期的处理 被引量:1

PERI-OPERATING MANAGEMENT IN 48 CASES OF CARDIAC VALVE REPLACEMENT
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摘要 目的 :总结瓣膜置换术围手术期处理的临床经验。方法 :回顾性分析 48例瓣膜置换术病人术前、术中、术后处理的临床资料。结果 :发生围手术期并发症共 14例 ,其中低心排 4例 ,心律失常 4例最多。长期存活47例 ,死于多器官功能衰竭 1例。结论 :术前注意纠正心功能不足与合并症的治疗 ,术中注意心肌保护与三尖瓣关闭不全的矫治 ,术后强调补足血容量和血清钾后强心利尿。 Objective:To study the cure and treatment of cardiac valve replacement during the peri-operation.Methods:48 cases of cardiac valve replacement have been analyzed.Results:The 14 cases have the complications of post-operation.The 4 cases of them have the low cardiac output and another 4 cases of those have the arrhythmia.The 47 cases lived for long-term and one died of multiple organ failure.Conclusion:Before operation,it is important to treat heart failure and other complication.During operation,well to do the myocardium prevent and plasticize the tricuspid incompetence.After operation,we emphasize that the circulating blood content and plasma K + are firstly supplied,then to give the cardiac diuretic.
出处 《内蒙古医学院学报》 2001年第4期227-229,共3页 Acta Academiae Medicinae Neimongol
关键词 人工心脏瓣膜 手术期间 处理 heart valve,prosthesis intra-operation period.
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  • 1汪曾炜 刘维永 等.手术学全集·心血管外科卷[M].北京:人民军医出版社,1996.582-590.

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