CAJ | 학술논문

目的　总结100例心脏瓣膜置换术。方法　全组均在全麻体外循环中低温下手术，行二尖瓣置换(MVR)65例，主动脉瓣置换(AVR)19例，二尖瓣和主动脉瓣置换(MAVR)16例，其中14例是二尖瓣狭窄术后再狭窄行置换术，同时行三尖瓣De Vegas环缩术15例。结果　术后93例痊愈出院，围手术期死亡7例，均为风心病患者。结论　风湿性心脏病(RHD)是导致心脏瓣膜损毁的主要病因，感染性心内膜炎(IE)和退行性变也是较常见的因素，而早期诊断、及时手术是提高治愈率、降低并发症的关键。
목적　총결100례심장판막치환술。방법　전조균재전마체외순배중저온하수술，행이첨판치환(MVR)65례，주동맥판치환(AVR)19례，이첨판화주동맥판치환(MAVR)16례，기중14례시이첨판협착술후재협착행치환술，동시행삼첨판De Vegas배축술15례。결과　술후93례전유출원，위수술기사망7례，균위풍심병환자。결론　풍습성심장병(RHD)시도치심장판막손훼적주요병인，감염성심내막염(IE)화퇴행성변야시교상견적인소，이조기진단、급시수술시제고치유솔、강저병발증적관건。
Objective:To review the experience of the heart valve replacements.Methods:All patients underwent general anesthesia under middle hypothermic cardiopulmonary bypass(CBP).Operations included MVR in 65 cases,AVR in 19 cases,MAVR in 16 cases.Second operations had 14 patients of restenosis after mitral valve stenosis dilatation.Additional procedures included tricuspid valve De Vegas annuloplasty in 15 cases.Results:93 patients recovered uneventfully and returned to normal life.There were 7 cases of postoperative death with a mortalily of 7%.Conclusion:Main factor of heart valve diseases suffered from RHD.Infective endocarditis and degenerate heart diseases were often seen in the clinic.The study suggests that the surgical early diagnosis and effective treatment can achieve excellent outcome with low complications and high cure rates.