郑州大学学报（医学版）2016，Vol.51Issue(4)：538-541,4.DOI:10.13705/j.issn.1671-6825.2016.04.027
风湿性二尖瓣狭窄并发肺动脉高压患者二尖瓣置换术后早期临床转归分析
Early outcome of mitral valve replacement in rheumatic mitral stenosis patients with pulmonary artery hypertension
陈楠 1朱耀斌 1张伟华 1罗鸿 1马宁 1刘东海 1张新 1乔晨晖1
作者信息
- 1. 郑州大学第一附属医院心血管外科 郑州 450052
- 折叠
摘要
Abstract
Aim: To analyze early outcome of mitral valve replacement in rheumatic mitral stenosis patients with pul -monary artery hypertension.Methods: A retrospective analysis of 128 rheumatic mitral stenosis patients with pulmonary ar -tery hypertension received mitral valve replacement was performed .They were allocated into 2 groups according to SPAP:group A(30 mmHg≤SPAP <50 mmHg,n =70) and group B(SPAP≥50 mmHg,n =58).The general information, periop-erative and postoperative data as well as the follow -up data were collected.Results: There were no significant differences in preoperative data except SPAP , pulmonary function or RVID between the 2 groups.In-hospital mortality was 5 in total, 2 in group A and 3 in group B.The prolonged mechanical ventilation time and stay in ICU in group B were significantly longer than those in group A(P <0.05).The SPAP declined after surgery in both groups .At 6 months after operation, the pros-thetic valves all worked well ; there were 2 patients'SPAP rising back to the level before surgery in group A and 11 in group B,and there was significant difference (χ2 =7.644,P =0.006).Conclusion: The higher level of SPAP may increase the risk of SPAP rising after surgery, and result in worse early outcome .关键词
风湿性心脏病/二尖瓣狭窄/肺动脉高压/二尖瓣置换术Key words
rheumatic heart disease/mitral stenosis/pulmonary artery hypertension/mitral valve replacement分类
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陈楠,朱耀斌,张伟华,罗鸿,马宁,刘东海,张新,乔晨晖..风湿性二尖瓣狭窄并发肺动脉高压患者二尖瓣置换术后早期临床转归分析[J].郑州大学学报（医学版）,2016,51(4):538-541,4.
