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[心脏瓣膜置换术后晚期致命并发症发病机制的临床解剖学基础]

[Clinical anatomical basis of the pathogenesis of fatal complications in the late periods after heart valve prosthesis].

作者信息

Ptashekas R S, Martsinkiavichus A M, Pikelite R L, Paliushchinskaia N A, Kibarskite N Kh

出版信息

Kardiologiia. 1977 Nov;17(11):91-5.

PMID:599819
Abstract

On the basis of clinico-anatomical analysis of the causes of death in 35 patients following valve prosthetics for rheumatic valvular disease, it was established that cardiac failure was the most frequent cause. Cardiac failure was due to exacerbation of the carditis process on the one hand, and to disorders of the rhythm induced by dystrophy, sclerosis, fibroelastosis, and calcinosis in the cardiac septum on the other. Thromboembolic processes rate second in frequency among the lethal complications. Death from septic complications was rarely encountered, and from causal causes only in individual cases.

摘要

基于对35例风湿性瓣膜病瓣膜置换术后患者死亡原因的临床解剖学分析,确定心力衰竭是最常见的死因。心力衰竭一方面是由于心脏炎过程的加重,另一方面是由于心脏间隔营养不良、硬化、纤维弹性组织增生和钙质沉着引起的节律紊乱。血栓栓塞过程在致命并发症中发生率居第二位。败血症并发症导致的死亡很少见,仅在个别情况下因其他原因死亡。

相似文献

1
[Clinical anatomical basis of the pathogenesis of fatal complications in the late periods after heart valve prosthesis].[心脏瓣膜置换术后晚期致命并发症发病机制的临床解剖学基础]
Kardiologiia. 1977 Nov;17(11):91-5.
2
Autopsy-determined causes of death following heart valve replacement.心脏瓣膜置换术后尸检确定的死亡原因
Am J Cardiovasc Pathol. 1987 Jan;1(1):39-46.
3
Bioprosthetic heart valve failure: pathology and pathogenesis.生物人工心脏瓣膜失效:病理学与发病机制
Cardiol Clin. 1984 Nov;2(4):717-39.
4
Hypothesis: new concepts on the pathogenesis of early prosthetic valve endocarditis.假说:人工瓣膜早期心内膜炎发病机制的新观点。
Med Hypotheses. 1982 Sep;9(3):325-30. doi: 10.1016/0306-9877(82)90162-1.
5
The special problems of the patient with a valvular prosthesis.
Cardiovasc Clin. 1986;16(2):415-26.
6
Autopsy-determined causes of death after cardiac valve replacement.心脏瓣膜置换术后尸检确定的死亡原因。
JAMA. 1983 Feb 18;249(7):899-902.
7
[Long-term follow-up of aortic or mitral valve replacement. Comparison of results following implantation of a mechanical or biological artificial valve].主动脉或二尖瓣置换术的长期随访。机械或生物人工瓣膜植入术后结果的比较
Herz. 1986 Apr;11(2):97-115.
8
Cardiac valve prostheses at autopsy.尸检中的心脏瓣膜假体。
Arch Pathol Lab Med. 1990 Sep;114(9):933-7.
9
Complications of mechanical heart valve prostheses.机械心脏瓣膜假体的并发症。
Cardiovasc Clin. 1988;18(2):273-88.
10
[Late complications following heart valve replacement].
Fortschr Med. 1984 Nov 15;102(42):1077-81.