老年人心脏瓣膜病的围手术期处理

Perioperative management of old patients with valvular heart disease

目的总结高龄心脏瓣膜病围手术期处理经验,提高患者治愈率。方法对2001年6月至2009年8月的125例65岁以上的高龄心脏瓣膜病瓣膜置换术围手术期处理要点进行分析。结果本组患者早期生存117例(93.6%),死亡8例(6.40%)。出院后随访时间6个月～3年,临床症状改善。结论对高龄心脏瓣膜病患者只要注意围手术期处理、制定合理手术方案。可有效降低死亡率及并发症,提高手术疗效。

Objective In order to improve the cure rate of surgery treatment of aged patients with valvular heart disease. Methods Between June 2001 to August 2009, 125 patients aged 65 years or older underwent cardiac valve operation. Results 117 patients survived （93.6%） and 8 died （6.40%）. All survived patients were followed up from 6 months to 3 years. Conclusion Al- though there are high risks in aged patients with valvular heart disease, the treatment results could be satisfactory if we are able to se- lect the right operating time and get all preparation with reasonable surgery strategy. The mortality and postoperative complication rate could be less.