重症瓣膜病的手术及围手术期治疗方法

The perioperative and surgical treatment of severe valvular heart disease

目的:探讨重症瓣膜病手术及围手术期经验。方法:回顾性分析28例重症瓣膜病患者瓣膜置换术资料。结果:重症瓣膜病术后出现并发症10例,术后康复较好15例,死亡3例(围手术期死亡1例,术后早期死亡2例)。结论:提高对重症瓣膜病外科手术的重视度,加强围手术期的管理,术前改善患者的心功能不全,术中时刻关注患者的情况,让患者有着充分的思想准备和良好的机能条件,提高术后存活率,提高患者术后的生活质量。

Objective:To explore the surgical treatment of severe valvular heart disease and perioperative experience.Methods:We retrospective analyzed 28 cases of severe valvular heart disease patients with heart valve replacement data.Results:After severe valvular heart disease surgery,complications occurred in 10 cases;15 cases were good recovery after surgery;3 cases died(1 case died in perioperative period,early postoperative death in 2 cases).Conclusion:Improve the importance of severe valvular heart disease surgery,peri operative management,preoperative improve heart function of patients,intraoperative always pay attention to the patient,let a patient have sufficient thought preparation and good functional conditions and improve the postoperative survival rate,improve patient quality of life.