贵州医科大学学报

1988, (04) 468-470

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二尖瓣狭窄的外科治疗(附85例报告)
REPORT OF EIGHTY-FIVE CASES OF MITRAL STENOSIS WITH SURGICAL TREATMENT

郑黔源;祝庆平;罗先达;刘桓;瞿溥年;
Zheng Qianyuan Department of Surgery of Affilial Hospital

摘要(Abstract):

本文报告1972年8月至1987年8月我院85例风湿性二尖瓣(犭央)窄或伴有轻度关闭不全病人的外科手术疗效。80例行闭式扩张术,5例行直视扩张术。贵州地区病人体型较小,瓣膜损害较重。瓣口扩张2.8~3.5cm,较一般要求偏小。手术后近期疗效较好。
This paper reports 85 cases of mitral stenosis resulted from rheumatic val- vitis treated with surgical operation by us over the period from August,1972 to August,1987.Eighty of them were treated with valvotomy and 5 with open-heart valvotomy.In both operations,the mitral valve was generally expan- ded to only 2.8-3.5 cm in diameter.This expansion was less than that repor- ted in the literature,being in accordance with the smaller constitution of Gui- zhou people.Three patients suffered cardiac arrest but all recovered.Replacing the heart in normal position and proper cardiac massage were effective for re- suscitation of the heart.Death occured in 3 patients.One of them died of car- diac failure,and the other two died of cerebral embolism.Five patients showed no remarkable effect.The remaining 77 patients were improved efficiently.The results showed that valvotomy is an effective and also safe operative treatment for pure mitral stenosis or stenosis associated with slight degree insufficiency, provided the patients are selected properly and strict indications,the opera- tion are considered.

关键词(KeyWords): 二尖瓣狭窄;心脏外科
mitral valve stenosis;heart surgery

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作者(Author): 郑黔源;祝庆平;罗先达;刘桓;瞿溥年;
Zheng Qianyuan Department of Surgery of Affilial Hospital

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DOI: 10.19367/j.cnki.1000-2707.1988.04.014

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