摘要
随着心脏外科技术的不断完善和提高,体外循环(CPB)装置和心肌保护措施的不断改进,患者CPB术后肺部并发症和病死率均有所下降,但瓣膜置换术后肺部并发症是影响患者术后恢复的主要原因之一,也是最常见的临床问题。心脏瓣膜术后肺部并发症主要有气胸、胸膜腔积液、肺不张、肺水肿、肺部感染、呼吸衰竭、急性肺损伤、肺出血及肺栓塞、灌注肺等。早期诊断、及时治疗肺部并发症可提高心脏瓣膜置换的生存率。
Along with the continuous improvement of heart surgery, CPB device and myocardial protec-tion measures, postoperative pulmonary complications and mortality after CPB has droppetl significantly, but the pulmonary complications after valve replacement is one of the main reasons affecting the postoperative recovery, which is also the most common clinical problem. Pulmonary complications after heart valve replace-ment,include pneumothorax, pleural cavity effusion, atelectasis, pulmonary edema, pulmonary infection, respiratory failure, acute lung injury, pulmonary hemorrhage and pulmonary embolism, and pulmonary perfu-sion etc.. Early diagnosis and timely treatment of pulmonary complications can improve the survival rate of heart valve replacement.
出处
《医学综述》
2013年第18期3350-3353,共4页
Medical Recapitulate
关键词
瓣膜置换术
肺部并发症
诊治
Valve replacement
Pulmonary complications
Diagnosis and treatment
