CAJ | 학술논문

目的探讨体外循环心脏瓣膜置换术后发生心律失常的相关因素和治疗措施.方法回顾性分析52例心脏瓣膜置换术患者的临床资料,术后监测心律失常发生率,采用统计学方法分析发生心律失常的高危因素.结果30例患者术后发生心律失常,发生率57.7%,无导致死亡患者.严重心功能不全、主动脉阻断时间≥80 min、术前心律失常、电解质紊乱(低钾低镁)是术后心律失常发生的独立危险因素.结论重视围手术期改善危险因素,严密的监护,及时、有效的处理,有望减少心脏瓣膜置换术后心律失常的发生和改善预后.
목적탐토체외순배심장판막치환술후발생심률실상적상관인소화치료조시.방법회고성분석52례심장판막치환술환자적림상자료,술후감측심률실상발생솔,채용통계학방법분석발생심률실상적고위인소.결과30례환자술후발생심률실상,발생솔57.7%,무도치사망환자.엄중심공능불전、주동맥조단시간≥80 min、술전심률실상、전해질문란(저갑저미)시술후심률실상발생적독립위험인소.결론중시위수술기개선위험인소,엄밀적감호,급시、유효적처리,유망감소심장판막치환술후심률실상적발생화개선예후.
@@@@Objective To analyze the risk factors of arrhythmias and its treatment following cardiac valve replacement undergoing Cardiopulmonary bypass. Methods The clinic date of 52 patients undergoing cardiac valve replacement which were studied retrospectively. The risk factors of arrhythmias were identified by using univariate andmultivariate logistic regression analysis. Results There were 30 patients who had arrhythmia, occurrence rate 57.7%, no death case. The high risk factors of arrhythmias were preoperative arrhythmias, electrolyte disturbance, NYHA function Class Ⅲ-Ⅳ, aortic-cross clamping time≥80 min after operation respectively. conclusion Active measures to avoid occurrence of these predictors or correct them should be taken so as to decrease postoperative occurrence rate and improve prognosis.