702例心脏瓣膜置换术及其主要并发症的临床分析.pdfVIP

# 354 # 2002 5 40 5 Chin J Surg, May 2002, Vol. 40,No. 5 ## 702 左景珍 于昂 李卫民 戴继民 王强 姜楠 李庆和 = 702 Ó~ Ô, \0170, \70 mm, , = , ; ; ; Analysis of complications after cardiac valve replacement: report of 702 patients Z UO Jingzhen, YUA ng , LI Weimin, DAI Jimin, WANG Qiang, JIANG N an, LI Qinghe. Dep artment of Cardiova cular Surgery , Che t Ho p ital of Tianj in, Tianj in 30005 1, China = Abstract Objective To define the determinants of perioperative death and complications after cardiac valve replacement in 702 patients. Methods Clinical data of the patients after cardiac valve replacement were analy ed retrospectively. Results Perioperative mortality and morbidity correlated significantly with some of the perioperative variables, such as higher NYHA functional class ( Óor Ô) , large left ventricular end-diastolic diameter ( \70 mm) , C/ T \0170, prolonged aortic cross-clamping time and cardiopulmonary bypass time, unsatisfactory myocardial protection. Conclusions Perioperative mortality and morbidity correlate significantly with some of perioperative variables, such as higher NYHA functional class, unsatisfactory myocardial protection, inappropriate surgical procedure, improper therapy of some complications after cardiac valve replacement. To avoid the occurrence of these independent predictors or to correct them timely might effectively decrease the perioperative mortality and morbidity after cardiac valve replacement. = Key words Heart valve prosthesis; Heart valve disease; Intraoperative complications; Cause of death 1992 1 ~ 1999 1 702 499 ( 71% ) ; 0150~ 0198, 0159( , 0170 52 , 714%) ; , ( LVEDD) \70 mm 89 ( 13% ) , , 482 (