Papp L, Kollár A, Rényi-Vámos F, Gyöngy T, Horkay F, Hermes L V, Moravcsik E, Bodor E, Szabolcs Z, Szabó Z
Semmelweis Orvostudományi Egyetem, Er- és Szívsebészeti Klinika, Budapest.
Orv Hetil. 1992 Apr 12;133(15):901-8.
In Hungary valve replacement is still a major indication for heart surgery in adults. In the Cardiovascular Surgical Clinic of Semmelweis Medical University of Budapest from 1976 to 1990 2435 patients were operated for valve disease. Majority of the cases had single (aortic n = 856, mitral n = 912) or double (aortic + mitral n = 513) valve replacement. Over this 15 years period there have been many alterations in patients characteristics and surgical technique as well. In spite of the increasing mean age of patients the operative mortality has decreased (in the last 5 years period it was 2.7%, 5.5% and 7.9% in the three groups respectively). At the same time the number of patients requiring valve re-replacement or combined valve + coronary procedure has increased. The use of bioprosthetic valves has fallen below 10 percent from the 60--80 percent observed between 1976--1980. The analysis showes excellent surgical results in the field of valve replacement in Hungary.
在匈牙利，瓣膜置换仍是成人心脏手术的主要指征。1976年至1990年期间，布达佩斯塞梅尔维斯医科大学心血管外科诊所对2435例瓣膜病患者进行了手术。大多数病例进行了单瓣膜（主动脉瓣n = 856，二尖瓣n = 912）或双瓣膜（主动脉瓣 + 二尖瓣n = 513）置换。在这15年期间，患者特征和手术技术也发生了许多变化。尽管患者的平均年龄不断增加，但手术死亡率却有所下降（在最后5年期间，三组的手术死亡率分别为2.7%、5.5%和7.9%）。与此同时，需要再次进行瓣膜置换或瓣膜 + 冠状动脉联合手术的患者数量有所增加。生物人工瓣膜的使用已从1976 - 1980年间观察到的60% - 80%降至10%以下。分析表明匈牙利在瓣膜置换领域取得了出色的手术效果。
