| 310例心脏瓣膜替换术临床分析 |
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| 引用本文： | 凌庆,陈华蓉.310例心脏瓣膜替换术临床分析[J].昆明医学院学报,1999,20(4):32-35. |
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| 作者姓名： | 凌庆 陈华蓉 |
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| 作者单位： | 昆明医学院第一附属医院心脏外科!昆明650032(凌庆，王忠明，张剑平)，昆明医学院第一附属医院肾脏内科!昆明650032(陈华蓉) |
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| 摘 要： | 对３１０例心脏瓣膜替换术的手术技术、麻醉、体外循环、心肌保护以及近期和远期死亡原因进行分析。结果近期死亡１４例占４．５％。死亡原因占首位的为心律失常和低心排，其次为感染和肾衰；远期死亡９例占２．９％。原因占首位的为栓塞和感染，其次为严重低心排、心律失常和抗凝过度大出血。结果表明心肌保护是手术成功的关键，严格的术后抗凝是提高术后生存率的重要因素。
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| 关 键 词： | 心脏瓣膜替换术 心肌保护 MVR AVR AMVR |
Clinical Analysis of 310 Cases of Valve Replacement |
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| Ling Qing,Cheng Huarong,Wang zhongming,Zhang Jiangping.Clinical Analysis of 310 Cases of Valve Replacement[J].Journal of Kunming Medical College,1999,20(4):32-35. |
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| Authors: | Ling Qing Cheng Huarong Wang zhongming Zhang Jiangping |
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| Affiliation: | Ling Qing 1) Cheng Huarong 2) Wang zhongming 1) Zhang Jiangping 1) |
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| Abstract: | Discussions were carried out about the anesthesia, surgical technique, CPB, myocardial protection, early and late death causes of 310 patients who had valve replacement. Myocardial protection is very important in VR. The early mortality rate was 4 5%, cardiac, LCO, infect and renal dysfunction are the common causes. The reasons for the late death of the 9 cases were cerebral embolism, infection and cardiac arrthymias. Anti-coagulation is very important for increasing survival rate. |
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| Keywords: | Cardiac valve operation Myocardial protection Analyses of death causes |
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