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老年心脏瓣膜病142例外科治疗体会
蔡小碧,陈 林,林立尧,黄一东,程可洛
524001 湛江,广东医学院附属医院胸心外科
摘要:
[摘要] 目的 总结老年患者心脏瓣膜病的临床外科治疗经验。方法 回顾性总结142例65岁以上老年患者体外循环直视心瓣膜置换术的临床资料。结果 住院死亡12例,病死率为8.45%。出院随访130例,随访时间3~36个月,无死亡患者。结论 提高手术技巧和完善围术期处理,老年患者行心瓣膜置换术是安全并能达到满意效果的。
关键词:  老年患者  心脏瓣膜病  围术期  冠状动脉旁路移植术
DOI:10.3969/j.issn.1674-3806.2014.10.13
分类号:R 654
基金项目:
Experience of surgical treatment of heart valve disease in 142 elderly patients
CAI Xiao-bi, CHEN Lin, Lin Li-yao, et al.
Department of Cardiothoracic Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001, China
Abstract:
[Abstract] Objective To summarize the experience of surgical treatment of valvular heart disease in elderly patients.Methods The clinical data of 142 elderly patients over 65 years old received cardiac valve replacement with cardiopulmonary bypass were retrospectively analyzed.Results Twelve cases died, the mortality was 8.45%.One hundred and thirty cases were followed up for 3~36 months, no patients died.Conclusion To improve the operation skills and perioperative treatment, elderly patients undergoing cardiac valve replacement is safe and can achieve satisfactory effect.
Key words:  Elderly patients  Heart valvular disease  Perioperative period  Coronary artery bypass grafting(CABG)