心脏瓣膜置换术的体会(附21例报告)

Experience of performing heart valve replacement:report of 21 cases

为风湿性心脏瓣膜病人施行瓣膜置换术２１例，其中置换二尖瓣１２例、主动脉瓣６例、二尖瓣及主动脉瓣双瓣膜３例。２１例中男７例，女１４例。平均年龄３８岁。术前心功能Ⅱ级４例，Ⅲ级１３例，Ⅳ级４例。心胸比率０．５６～０．７７。手术死亡率４．７６％（１／２１）。作者对影响手术死亡原因如手术前、手术中及手术后的处理等问题进行探讨。

twenty one patients with rheumatic valvular disease were performed valve replacement in the authors Hospital,of which 12 cases were mitral valve replacement,6 cases were aortic valve replacement and 3 cases were double valve replacement of mitral and aortic valves 7 were male and 14 were female The age ranged 28～64 years Four patients were in NYHA functional class Ⅱ, 13 in class Ⅲ and 4 in class Ⅳ C/T:0 56～0 77 The operative mortality was 4 76%(1/21) The factors affected operative death such as preoperative treatment,management during operation and postoperation were discussed