连续32例心脏瓣膜置换术无死亡报告

CARDIAC VALVE REPLACEMENT IN 32 CASES

自1988年11月至1989年6月连续施行32例瓣膜置换术无死亡,其中单瓣置换28例,双瓣置换4例。术前心功能Ⅰ级2例,Ⅱ级4例,Ⅲ级14例,Ⅳ级12例,心胸比率0.56～0.80。降低死亡率的方法是加强手术前、手术中及手术后处理。

From Nov. 1988 to June 1989, 32 consecutive patients underwent cardiac valve replacement. There was no operative death. The preoperative cardiac function was class Ⅰ in 2, class Ⅱ in 4, class Ⅲ in 14 and class Ⅳ in 12. The cardiothoracic ratio was 0.56 to 0.80. Single valve replacement was done in 28 and double in 4. Mortality could be reduced or even avoided by improving the pre- and postoperative treatment, and operative technique.