手术治疗心脏瓣膜病合并冠心病的效果分析

Effect analysis of surgical treatment of valvular heart disease with coronary heart disease

目的探讨手术治疗心脏瓣膜病合并冠心病的临床疗效。方法选取2013年4月至2017年12月内蒙古乌兰察布市中心医院收治的心脏瓣膜病合并冠心病患者31例为本组研究对象,所有患者均在全麻体外循环下行手术治疗,对患者术前术后心功能进行比较。结果患者体外循环平均时间为(180±50)min,主动脉阻断平均时间(130±33)min,在围手术期出现心律失常11例,低心排综合征4例,无死亡患者,随访3~24个月,患者心功能改善,无严重症状出现。结论在心脏瓣膜病的临床治疗中,有冠心病高危因素者,应常规行冠状动脉造影检查,采用科学的手术治疗方式,可以减少患者死亡发生率,改善患者生活质量,提高患者心功能。

Objective To discuss the clinical effect of surgical treatment of valvular heart disease with coronary heart disease. Methods 31 cases of valvular heart disease combined with coronary heart disease in our hospital from April 2013 to December 2017 were selected as the study subjects. All the patients were treated under General anesthesia extracorporeal circulation, and the heart function before and after operation were compared. Results The mean time of cardiopulmonary bypass was（180±50） min, the mean time of aortic occlusion was（130±33） min, 11 cases were arrhythmia, 4 cases were low cardiac output syndrome, death free cases. Follow up for 3-24 months, improve heart function of patients, no severe symptoms. Conclusion In the clinical treatment of valve heart disease, patients with high risk factors for coronary heart disease, coronary angiography should be performed routinely, adopting scientific surgical treatment can reduce the incidence of death, improve the quality of life, improve heart function of patients.