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左心室室壁瘤切除左心室成形术的现状和进展 被引量：7

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摘要 心肌缺血导致的慢性心力衰竭的治疗是公认的世界性难题。心肌梗死后形成室壁瘤，或进一步发展至缺血性心肌病，并发二尖瓣关闭不全，心肌收缩和舒张功能严重受损，导致慢性心力衰竭。众多研究表明，心脏收缩功能很差、心脏显著扩大的缺血性心肌病病人，单纯药物治疗2年内约40％死亡，而且生存的病人因为心衰而再次住院的比例高达80％。如果单纯行冠状动脉旁路移植手术（CABG），术后早期死亡率可高达27％，最常见的死亡原因是心衰复发，5年生存率也只有60％左右，而且术后5年内60％病人仍有慢性心力衰竭症状，因此，单纯CABG有其局限性”。
作者 高长青
机构地区 中国人民解放军总医院心血管外科
出处 《中华胸心血管外科杂志》 CSCD 北大核心 2007年第3期145-146,共2页 Chinese Journal of Thoracic and Cardiovascular Surgery
关键词 左心室室壁瘤 左心室成形术 冠状动脉旁路移植手术 慢性心力衰竭 缺血性心肌病 心脏收缩功能 单纯药物治疗 二尖瓣关闭不全
分类号 R654.2 [医药卫生—外科学]
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参考文献29

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二级参考文献45

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共引文献9

同被引文献69

引证文献7

二级引证文献7

中华胸心血管外科杂志
2007年 第3期

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