风湿性心脏病中的三尖瓣置换术。
Tricuspid valve replacement in rheumatic heart disease.
作者信息
Braimbridge M V, Sarin C L, Yalav E, Clement A J, Mendel D
出版信息
Br Med J. 1970 Sep 12;3(5723):629-31. doi: 10.1136/bmj.3.5723.629.
Abstract
The diagnosis of tricuspid valve disease is often difficult; the best treatment is not yet established. Twenty patients had tricuspid valve replacements at St. Thomas's Hospital as part of multiple valve replacement procedures. The hospital mortality was 25%, most deaths being due to a low cardiac output causing hepatorenal failure. Preoperative cardiac cachexia had a fatal outcome in all cases. Except in two instances, surviving patients returned to a satisfactory level of activity.
摘要
三尖瓣疾病的诊断往往很困难；最佳治疗方法尚未确定。在圣托马斯医院，20名患者在进行多瓣膜置换手术时接受了三尖瓣置换。医院死亡率为25%，大多数死亡是由于心输出量低导致肝肾衰竭。术前心脏恶病质在所有病例中都导致了致命的结果。除两例外，存活患者恢复到了令人满意的活动水平。
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本文引用的文献
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Criteria for and results of surgery for mitral stenosis. I. Concepts and technics.二尖瓣狭窄的手术标准及结果。I. 概念与技术。
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Valve replacement for tricuspid stenosis or insufficiency associated with mitral valvular disease.针对与二尖瓣疾病相关的三尖瓣狭窄或关闭不全进行瓣膜置换术。
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