摘要
目的:研究肥厚梗阻性心肌病合并二尖瓣狭窄患者的治疗效果和预后。方法:回顾性分析2000年1月至2016年7月间,我院收治的肥厚梗阻性心肌病合并二尖瓣狭窄的患者共7例,其中男性4例,女性3例,年龄35.4~64.8岁,平均(52.6±9.0)岁。通过门诊随访的方式记录患者的心功能、左心房大小、跨瓣压差和射血分数等,并记录主要并发症。结果:全组无围术期死亡病例,1例安装永久起搏器。术后住院天数7.0~14.0d,平均(10.3±2.9)d,体外循环时间65.0~177.0min,平均(125.9±36.0)min,阻断时间40.0~122.0min,平均(93.6±29.9)min。术后病理显示二尖瓣全部为风湿性改变。超声显示二尖瓣人工瓣膜功能良好,左心室流出道压差均下降至正常。随访)2.5~115.9个月,平均(72.1±36.9)个月,1例出现三尖瓣大量反流,1例出现急性脑梗死。二尖瓣功能良好,左心室流出道压差均正常,心功能分级(NYHA)I级5例,II级2例,较前明显改善。结论:肥厚型心肌病合并二尖瓣狭窄的患者其术后效果满意,远期预后需一步随访。
Objective： To study the clinical results of treatment for hypertrophic obstructive cardiomyop- athy （ HOCM ） associated with mitral stenosis （ MS ）. Methods ： Retrospectively analyze the patients with HOCM plus MS in our hospital from 2006. 1 to 2016. 7. There are 4 male and 3 female patients in this group. Mean age was 35.4-64. 8 （52. 6 ± 9.0） years. The clinical parameters were recorded through outpatient clinic and telephones. Results：There was no death case throughout the postoperative and follow-up time. One patient undertaken permanent pacemaker implantation postoperatively. Mean postoperative stay in hospital was 7.0- 14. 0 （ 10. 3 ± 2. 99）days, mean cardiopulmonary bypass time was 65.0-177.0 （ 125.9 ± 36. 0） minutes, mean cross-clamping time was 40. 0-122. 0 （93. 6 ± 29. 9）minutes. Postoperative pathology showed rheumatic lesions in all cases. Mean follow-up time was 2.5-115.9 （72. 1 ± 36. 9）months. There was one case with severe tricus- pid insufficiency and one with acute cerebral infarction. All the prosthesis functioned well. Five patients had NYHA class I and two had NYHA class II. The heart functions were improved. Conclusion：The clinical results of HOCM associated with MS have a good prognosis.
出处
《心肺血管病杂志》
2017年第4期273-276,共4页
Journal of Cardiovascular and Pulmonary Diseases
关键词
肥厚型心肌病
二尖瓣狭窄
治疗效果
Hypertrophic cardiomyopathy
Mitral stenosis
Clinical results
