重症心脏瓣膜病外科的营养支持

Nutrition support in surgical treatment of severe heart valve disease

目的:探讨营养支持在重症心脏瓣膜病外科治疗中的作用。方法:对2000年5月～2005年5月182例重症心脏瓣膜病行瓣膜置换术,135例行三尖瓣成形术,37例进行左房折叠术,围术期采用营养支持疗法。结果:182例患者中在院死亡5例,死亡率2.7%。术后并发低心排血量综合征15例,随访151例,死亡1例。结论:科学的应用营养支持方案,可以明显地提高重症心脏瓣膜病外科手术成功率。

Objective：To investigate the effects of nutrition support in surgical treatment of severe heart valve disease. Methods：From May 2000 to May 2005,we performed 182 valve replacements of severe heart valve disease.All patients acquired nutrition support.Results：5 cases were dead and the mortality was 2.7%.15 cases developed postoperative low cardiac output syndrome. Followed-up studied 151 cases,two cases died.Conclusion：The planning of scientific nutrition support can improve the outcome of operation.