236 cases of heart valve replacement surgery complications related factors.docVIP

 PAGE \* MERGEFORMAT 4 236 cases of heart valve replacement surgery complications related factors Authors: Zhang Baoning, Lei Zhang, Yong, Lei Jun-rong [Keywords:] Heart valve diseases; artificial valve replacement surgery; complications [Keywords:] Heart valve diseases; artificial valve replacement surgery; complications 0 Introduction 200302/200605 admitted to our hospital 236 cases of heart valve disease, underwent artificial heart valve replacement surgery, we adopted the clinical data analysis to understand the impact of heart valve replacement surgery-related complications occurred after the main factors, sum up clinical experience, reduce the Patients with postoperative complications and mortality. An object and method 1.1 The object of this group of 236 (male 102, female 134), aged 16 to 69 (mean 45.8) years, duration 1 mo ~ 35 a. rheumatic heart disease 213 cases, 23 cases of congenital heart disease, preoperative NYHA classification cardiac function in 122 cases of grade Ⅱ (58%), Ⅲ grade 82 cases (29%), Ⅳ grade 59 patients (23%), chest X-ray showed cardiothoracic ratio of 0.50 ~ 0.96, which is greater than 0.7 in 51 cases (12%), Cardiac color Doppler echocardiography shows left ventricular end diastolic diameter (LVEDD) 56 ~ 78 (mean 67.8 ± 7.8) mm, in 24 patients with severe pulmonary hypertension, history of preoperative embolization in 11 cases there had been closed mitral valvuloplasty by 8 cases. Method of surgery were 1.2 endotracheal intubation intravenous anesthesia, the under hypothermic cardiopulmonary bypass, using cold crystalloid and warm blood to stop inducing aortic root or coronary sinus infusion method, in the heart to stop jumping to complete. Which mitral valve replacement (MVR) 96 cases of aortic valve replacement (AVR) 88 cases, 50 cases of double valve replacement, tricuspid valve replacement (TVR) 2 Li, MVR with the left atrial incision in 31 cases times, using the right atrial septal incision 65 cases times, AVR aor