重症心脏瓣膜疾病的外科治疗

Surgical Treatment of Serious Valve Heart Disease

目的:总结重症心脏瓣膜病的外科治疗效果,探讨提高术后早期存活率的措施。方法:为148例重症心脏瓣膜病患者施行瓣膜置换术,其中116例二尖瓣置换者保留二尖瓣装置。结果:术后早期死亡率4%(6例);治愈出院142例,心功能较术前均有不同程度提高,其中提高I级者87例、II级者55例。结论:对重症心脏瓣膜病外科治疗的患者需要合理的综合治疗,注重术前心功能改善,恰当选择手术时机,术中加强心肌保护,合理纠正病变,术后严密监护,加强术后并发症的防治,可提高术后早期存活率。

Objective： To summarize the surgical treatment result of serious heart valve disease, and investigate the treatment to improve the early -term survival. Methods ：148 patients who suffered from serious heart valve disease were received valve replacement. The 116 cases of mitral replacement were adopted the preserved methods. Results： In this group, the hospital mortality was 4% （6 cases） ;142 patients discharged from hospital uneventfully. There was significant improvement in mean NYHA classification; improvement class I was 87 patients, II was 55 patients. Conclusion：To improve the outcome of operation, it must be paid more attention to perioperative management, choice the best operative time, myocardial protection, surgical method and intensive care.