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[失代偿期慢性心功能不全与二尖瓣狭窄的外科治疗]

[Chronic cardiac insufficiency at the decompensation stage and the surgical treatment of mitral stenosis].

作者信息

Uglov F G, Krutikova I F, Golovin V N, Petrishina T I

出版信息

Vestn Khir Im I I Grek. 1987 May;138(5):3-11.

PMID:3672731
Abstract

A classification of chronic heart failure was made on the material of surgical treatment of 290 patients with rheumatic mitral heart defect with prevailing stenosis. Three stages of chronic heart failure at the decompensation stage were found: I--unstable removable; II--stable removable; III--stable not completely removable. In the Ist stage the authors recommend operations by both closed and open techniques; in the IInd stage closed methods are thought to be preferable (open operations may be used in single cases); in the IIIrd stage only closed methods are possible.

摘要

根据290例以二尖瓣狭窄为主的风湿性二尖瓣心脏缺损患者的外科治疗资料,对慢性心力衰竭进行了分类。发现失代偿期慢性心力衰竭有三个阶段:I期——不稳定可消除;II期——稳定可消除;III期——稳定但不能完全消除。在I期,作者推荐采用闭式和开式技术进行手术;在II期,认为闭式方法更可取(个别情况下可采用开式手术);在III期,仅可采用闭式方法。

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