中国现代医学杂志2017，Vol.27Issue(3)：123-126,4.DOI:10.3969/j.issn.1005-8982.2017.03.027
巨大左心室瓣膜置换术的临床价值及其对心功能的影响
Clinical efficacy and heart functional recovery of valve replacement surgery for patients with giant left ventricle
李树斌 1李俊杰1
作者信息
- 1. 河南省新乡市中心医院心胸外科,河南新乡453000
- 折叠
摘要
Abstract
Objective To probe into the clinical application value of cardiac valve replacement surgery in the treatment of patients with giant left ventricle and its effect on heart functional recovery.Methods Thirtyseven patients treated in our hospital from August 2003 to October 2013 were selected.All the patients were treated with valve replacement surgery.The echocardiographic indices and cardiac function (NYHA)classification of the patients were compared at different time before and after treatment,and the complications and death situation were analyzed.Results The levels of LVEDD and LVESD were decreased 1 month after treatment;the levels of LVEDD,LVESD and SVI were decreased 6 months after treatment;the levels of LVEDD,LVESD and SVI were decreased,and LVEF and LVFS were increased 1 year after treatment compared with those before treatment.The ratio of cardiac function grade Ⅰ and Ⅱ was increased,the ratio of grade Ⅲ and V was decreased 6 months and 1 year after treatment compared with those before treatment.There were 2 death cases in early postoperative period,the mortality was 5.41％ (2/37).There were 15 cases with ventricular arrhythmia,14 cases with low cardiac output syndrome,and 6 cases with pulmonary complications.Conclusions Valve replacement surgery could improvc hcart function and lower short-term post-operative complications and mortality in patients with giant left ventricle.Its long-term effects need further clinical follow-up study.关键词
瓣膜置换术/巨大左心室/心功能Key words
valve replacement surgery/giant left ventricle/heart function分类
医药卫生引用本文复制引用
李树斌,李俊杰..巨大左心室瓣膜置换术的临床价值及其对心功能的影响[J].中国现代医学杂志,2017,27(3):123-126,4.
