Stinson E B, Shumway N E
Calif Med. 1968 Dec;109(6):441-4.
Sixteen patients with terminal cardiac failure due to valvular heart disease had emergency operation for value replacement. Four patients did not survive, because of irreversible myocardial or secondary organ involvement. The remainder, however, had immediate reversal of heart failure after operation, and all became fully active following discharge. Recognition of refractory decompensation in valvular heart disease demands prompt consideration of surgical intervention.
16例因瓣膜性心脏病导致终末期心力衰竭的患者接受了瓣膜置换急诊手术。4例患者因不可逆的心肌或继发性器官受累而未能存活。然而,其余患者术后心力衰竭立即得到逆转,出院后均恢复了完全活动能力。认识到瓣膜性心脏病的难治性失代偿需要及时考虑手术干预。