摘要
1986年7月～1990年2月,我科施行瓣膜替换术267例,早期死亡26例,死亡率9.7%。本文试图摸索术日、术后1周内及术后2～4周的多发死亡原因规律,从而预见性地进行处理。经分析,术日死亡9例(34.6%),原因以急性泵衰、左室破裂、出凝血障碍为主;术后1周内死亡8例(30.8%),常见原因为低心输出量及卡瓣;余9例死亡(34.6%)于2～4周,以多脏器衰竭、感染等为主因。据此,为不同时间段的防治重点提供了依据。
Wang Dong-Qing , Li Gong-Song, Zhu Lang-Biao, et al. Department of Cardiovascular Surgery, General Hospital of PLA, BeijingTwo hundred and sixty seven cases of heart valve replacement were performed from July 1986 to Feb. 1990 with an early mortality of 9.7% (26 cases). We tried to find the patterns of death in the postoperative period (on the operative day, 1 week and 2-4 weeks postoperatively).The results showed the following patterns of postoperative death: (1) on the operative day (9 cases, 34.6%): acute pump failure, LV rupture and coagulopathy; (2) within 1 week (8 cases, 30.8%): low cardiac output and valve entrapment, and (3) within 2-4 weeks (9 cases, 34.6%): multiorgan failure and infections. So different measures of prevention and treatment should be taken in different postoperative periods.
出处
《中国循环杂志》
CSCD
1993年第6期333-335,共3页
Chinese Circulation Journal
