Tsukerman G I, Semenvskiĭ M L, Dubrovskiĭ V S, Il'ina V E, Mikhina V S
Kardiologiia. 1981 Feb;21(2):21-5.
The article deals with the study of problems of the surgical treatment of patients with multivalvular heart diseases. Problems of myocardial protection, the methods for correcting tricuspid disease, and the attitude towards attendant valvular diseases depending on their severity are discussed on the grounds of the analysis of hospital fatality rate in a group fo 505 patients who underwent one-stage correction of two or three defective heart valves and the appraisal of late results. Analysis of the late results indicates that a more radical approach to the surgical treatment of mitral valvular disease is necessary and that marked relative insufficiency and all forms of organic tricuspid disease must be corrected without fail.
本文探讨多瓣膜心脏病患者外科治疗问题。基于对505例接受一期矫正两个或三个心脏瓣膜缺陷患者的医院死亡率分析及远期疗效评估，讨论了心肌保护问题、三尖瓣疾病的矫正方法以及根据伴随瓣膜疾病严重程度所采取的治疗态度。远期疗效分析表明，对于二尖瓣疾病的外科治疗有必要采取更积极的方法，并且必须毫无例外地矫正明显的相对性关闭不全和所有形式的器质性三尖瓣疾病。
