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老年房间隔缺损患者的外科治疗

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摘要 目的总结老年房间隔缺损患者外科治疗经验。方法对18例老年房间隔缺损患者进行手术治疗,年龄为55~68岁。合并动脉导管未闭1例,合并糖尿病4例,房颤12例,合并冠心病两支病变1例,合并三尖瓣关闭不全18例。术前B型超声检测肺动脉压为(2.31~17.13)kPa,房缺修补采用直接连续缝合或补片修补;同期行三尖瓣成形术15例,均行Devage成形术。结果术后早期死亡1例,其余17例患者心功能均有明显改善,生活质量显著提高,术后随访1~24个月,心功能Ⅰ~Ⅱ级。但与其他年龄组手术患者比较,术后住院时间和多巴胺使用时间明显延长,1例术后7 d迟发心包积液,经穿刺置管引流治愈,2例房颤术后恢复窦性心率。结论老年房缺患者手术治疗成功的关键在于合并症和围术期心律失常的正确处理。
出处 《中国医学创新》 CAS 2010年第36期86-87,共2页 Medical Innovation of China
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参考文献3

  • 1韩林,张宝仁,郝家骅,朱家麟,梅举,邹良建.老年房间隔缺损病人的手术治疗[J].上海医学,2001,24(1):29-31. 被引量:3
  • 2Shibata Y,Abe T,Kuribayashi R,et al.Surgical treatment ofisolated secundum atrial septal defect in patients more than 50 years old.Ann Thorac Surg,1996,62:1096-1099.
  • 3Borrow KM,Karp R.Atrial septal defect:lessons from the past,directions for the future.N Engl J Med,1990,323:1698-1700.

二级参考文献6

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