70例心脏瓣膜病的外科治疗

Results of surgical treatment in valve disease in 70 patients

目的：分析心脏瓣膜病外科治疗的结果。方法：2002年7月至2005年10月共为70例心脏瓣膜病施行瓣膜替换术，其中主动脉瓣与二尖瓣双瓣替换术24例，二尖瓣替换术35例，主动脉瓣替换术10例，三尖瓣替换术1例，同时行三尖瓣成形术14例。结果：全组无术后早期死亡，晚期死亡1例。随访6月～3年，心功能恢复良好。结论：术前充分准备，术中以冷血停跳液灌注、注意扩血管药物的应用，保持较高的血钾浓度，积极施行三尖瓣功能关闭不全瓣环成形术，对改善手术疗效与晚期效果尤为重要。

Objective ：To analyze the results of heart valve replacement. Methods ：70 patients were performed multiple valvular operation from July 2002 to October 2005, among which 24 cases were undergone combined mitral and aortic valve replacement, 35, mitral valve replacement, 10, aortic valve replacement, 1, tricuspid valve replacement and 14, tricuspid valvuloplasty. Results ：There was no early postoperative death in these cases apart from one case of late death . The heart function in all patients was significantly improved during the follow-up periods of from 6 months to 3 years. Conclusion ： The findings suggest that the following factors as well-anticipated preparation, perfusion of coronary arteries with cold blood vasodilator and tricuspid valvuloplasty can improve heart function.