[早期心脏手术患者多瓣缺损的外科矫正]。

Grudnaia khirurgiia (Moscow, Russia) Pub Date : 1989-11-01
Iu I Malyshev, A S Iarygin, M Iu Malyshev
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引用次数: 0

摘要

本文分析了45例既往行手术治疗的多瓣膜性心脏病的手术治疗结果。11例(24.1%)患者被诊断为III期(晚期)循环系统疾病。几乎所有的终末期循环疾病患者都有三尖瓣病变。术后死亡11例(24.4%)。最常见的致死原因是:心力衰竭(6例)和出血(2例术中和1例术后第6天);出血发生于胃和食道静脉曲张。严重的初始循环功能不全是手术危险的主要因素。可操作性的标准必须详细阐述这支特遣队的病人患有严重的心功能不全在手术前夕。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Surgical correction of multivalvular defects in patients who had earlier undergone heart surgery].

The article analyses the results of surgical treatment of 45 patients with multivalvular acquired heart diseases which had been previously treated by operation. Stage III (terminal) circulatory disorders were diagnosed in 11 (24.1%) patients. A pathological condition of the tricuspid valve was found in almost all patients with the terminal stage of circulatory disorders. Eleven (24.4%) patients died after the operation. The most frequent causes of the fatal outcomes were: cardiac failure (in 6 patients) and hemorrhage (in 2 patients during the operation and in 1 patients on the 6th post-operative day; the bleeding occurred from varicose veins of the stomach and esophagus). Severe initial circulatory insufficiency was the main factor of operative risk. The criteria of operability must be elaborated for this contingent of patients suffering from severe cardiac insufficiency on the eve of the operation.

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