摘要
目的:探讨合并心脏恶病质三尖瓣病变的手术治疗。方法:对7例符合心脏恶病质诊断标准的重度三尖瓣病变患者采用三尖瓣置换术,围手术期予以积极纠正心力衰竭并改善营养状况。结果:7例手术均获成功,早期死亡1例,死于严重心律失常和心力衰竭。平均随访32个月,1例存在一定程度的右心功能不全表现,余患者恢复良好。结论:三尖瓣置换是合并心脏恶病质三尖瓣病变的有效治疗方法,但应严格掌握手术适应征,术中应注意避免损伤传导束。围手术期改善心功能及加强营养支持对提高手术疗效有重要的意义。
Objective： To evaluate the surgical treatment of tricuspid valve disease combined with cardiac cachexia. Methods： Seven patients with heavy tricuspid valve disease combined with cardiac cachexia underwent tricuspid valve replacement. Heart function and nutrition status were improved in the perioperative period. Results： All operations were performed successfully,but one patient died of heavy heart failure postoperatively. The mean follow-up length was 32 months ,all patients had good heart function except one with minor right heart function failure. Conclusions： Prosthetic heart valve replacement is an effective treatment for patients with serious tricuspid valve disease combined with cardiac cachexia. The perioperative nutrition support and heart function improvement are important in the treatment process.
出处
《浙江大学学报（医学版）》
CAS
CSCD
2006年第4期448-452,共5页
Journal of Zhejiang University(Medical Sciences)
关键词
三尖瓣/外科学
心脏恶病质
三尖瓣病变
三尖瓣置换
Tricuspid valve/surg
Cardiac cachexia
Tricuspid valve disease
Tricuspid valve replacement
