摘要
目的总结２８例感染性心内膜炎手术治疗的经验。方法全组病例均在体外循环下施行心脏直视手术，瓣膜替换２４例，室缺修补和三尖瓣成形３例，Ｂｅｎｔａｌ术１例。其中植入机械瓣１７例，同种瓣７例。结果早期死亡２例，晚期死亡４例。术后轻度瓣周漏和反流各１例。存活２２例，心功能改善。结论内外科联合治疗感染性心内膜炎后长期生存率与预后均明显优于单纯抗生素治疗；影响其手术疗效的主要因素是感染复发或再感染、严重心力衰竭等；炎症静止期手术治愈率较高。
Objective To summarize the experience of surgical treatment of infective endocarditis in 28 patients. Method Open heart surgery under cardiopulmonary bypass was performed in all patients: valve replacement (24), VSD repair and tricuspid annuloplasty (3), and Bentall (1) 17 mechanical and 7 homograft valves were placed. Result Two died in hospital, 4 died from infection, 1 had periprosthetic leakage and incompetence respectively.22 survivors showed improved heart function. Conclusion Combinaed medication and surgical treatment is superior to antibiotic treatment in longterm survivali and convalesence.Infective reccurrence,reinfection and advanced heart failure are major risk factors after operation.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第8期464-465,共2页
Chinese Journal of Surgery
