老年人心脏瓣膜置换术
Heart valve replacement in the elderly.
作者信息
de Bono A H, English T A, Milstein B B
出版信息
Br Med J. 1978 Sep 30;2(6142):917-9. doi: 10.1136/bmj.2.6142.917.
From January 1973 to December 1976, 70 operations for heart valve replacement were performed on 68 patients aged 65--75 years. These comprised 40 aortic valve replacements, 27 mitral valve replacements, and three aortic and mitral valve replacements. Three patients died within 30 days of operation (early mortality 4.3%), and five died 12 weeks to three years after operation. Four patients showed no improvement. The results were excellent or good in the remaining 56 patients. Valve replacemnt can restore to a useful independent life elderly patients who would otherwise be a burden on costly social and medical domiciliary services. The indications for valve surgery in the elderly should therefore be the same as in any other age group.
1973年1月至1976年12月期间，对68名年龄在65至75岁的患者进行了70次心脏瓣膜置换手术。其中包括40次主动脉瓣置换、27次二尖瓣置换以及3次主动脉瓣和二尖瓣联合置换。3例患者在术后30天内死亡（早期死亡率为4.3%），5例在术后12周至3年内死亡。4例患者术后未见改善。其余56例患者的手术结果为优或良。瓣膜置换术能够使老年患者恢复到可独立生活的状态，否则他们将成为昂贵的社会和医疗居家服务的负担。因此，老年人瓣膜手术的适应证应与其他任何年龄组相同。
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