摘要
探讨影响二尖瓣、主动脉瓣并三尖瓣病变术后低心输出量综合征（低心排）的因素以及三尖瓣的处理问题。作者对１９８８年３月至１９９４年２月期间行二尖瓣、主动脉瓣并三尖瓣病变外科治疗的４１例病人进行多因素分析。结果表明术前心功能Ⅳ级、左心室舒张末期内径及肺动脉压力是影响术后低心排的主要因素（Ｐ值分别为０．００１，０．００３，０．００５）。作者认为ＤｅＶｅｇａ环缩成形术对处理三尖瓣关闭不全效果良好。
Purpose: To find the predictive factors of low cardiac output after mitral and aortic valve operation combined with tricuspid annuloplasty of tricuspid valve lesion. Materials and methods: 41 patients with rheumatic heart disease underwent mitral, aortic and tricuspid valve surgical procedures simultaneously between March, 1988 and February, 1 994. The predictive factors of postoperative low cardiac output were analysed using multivariate analysis. Results and conclusion :The preoperative NYHA heart functional class Ⅳdisability(P= 0.001), left ventricular diastolic end-stage dimension(P=0.003) and systolic pulmonary artery pressure(P=0. 005) were identified as the significant predictive factors of postoperative low cardiac output. The good results of DeVega tricuspid annuloplasty were obtained.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第4期193-195,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
三尖瓣成形术
二尖瓣病变
三尖瓣病变
Triple-valve procedure DeVega tricuspid valve annuloplasty
