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成人先天性心脏病

Congenital heart disease in the adult.

作者信息

Cerbák R, Vítek J, Vespalec J, Dominik J, Joukal B, Nicovský J, Uchytil B, Toman J, Zeman K

出版信息

Cor Vasa. 1985;27(6):417-25.

PMID:4092470
Abstract

On the basis of literary data and of their own series of 264 adult patients, who were in 1978-1982 subjected to invasive haemodynamic examination for congenital heart disease, 162 patients operated on, and 128 patients followed up for long-term periods after surgical treatment of congenital heart disease in adult age, the authors analyse the causes of late recognition of the disease, operative complications and long-term operative results. It is pointed out that a haemodynamically serious congenital heart disease is indicated for surgical correction even in adult age, and that age itself does not represent a limitation to cardiosurgical intervention. In adult age, it is necessary to anticipate a greater number of complications and a more severe post-operative course, but the long-term results are very good.

摘要

根据文献资料以及他们自己的264例成年患者系列病例(这些患者在1978年至1982年期间因先天性心脏病接受了有创血流动力学检查,其中162例接受了手术,128例在成年期先天性心脏病手术治疗后进行了长期随访),作者分析了疾病诊断延迟的原因、手术并发症以及长期手术效果。文中指出,即使在成年期,血流动力学严重的先天性心脏病也适合进行手术矫正,而且年龄本身并不构成心脏外科手术干预的限制。在成年期,有必要预期会出现更多并发症和更严重的术后病程,但长期效果非常好。

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