二尖瓣闭式扩张术后再狭窄的外科治疗

Sergical treatment after closed mitral commissurotomy stenosis

目的报告32例二尖瓣闭式扩张术后再狭窄的治疗经验。方法阻断循环下替换二尖瓣27例,并行循环下替换二尖瓣5例。同期替换主动脉瓣4例,三尖瓣全部同期成型。结果无一例死亡,术后心功能均恢复至Ⅱ-Ⅰ级。结论降低死亡率的关键是掌握好手术时机,同时合理的术后监测和正确的术后处理也是降低死亡率的重要因素。

Objective To review the experience of surgical treatment of 32 patients underwent heart valve replacement after closed mitral commissurotomy(CMC). Methods 27 cases were operated in total CPB,5 cases were operated in beating heart .together Aorta valve replacement in 4 cases ,together Tricuple valvoplasty in total cases. Results none operative dealth after operation heart functional classⅡ-Ⅰ. Conclusions the factors for dcreasing hospital mortality include lastly prompt and correst postoperative care of the patients.