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[二尖瓣狭窄晚期手术治疗方面的鉴别诊断]

[Differential diagnosis of late stages of mitral valve stenosis in the aspect of its surgical treatment].

作者信息

Uglov F G, Krutikova I F, Chufarov V N

出版信息

Vestn Khir Im I I Grek. 1981 Sep;127(9):3-8.

PMID:7303413
Abstract

The results of the examination and treatment of 200 patients with the IV and V stages of mitral stenosis were analyzed. Certain major criteria of differential diagnosis of the IV and V stages of the defect were established. Surgical methods for the treatment of patients of the both groups were chosen. The authors consider the most characteristic features of the IV stage to be the following: functions and structure of parenchymatous organs, microcirculation, tissue metabolism. The surgical correction of the defect by the closed and open methods is believed to be possible. Patients with the IV stage of mitral stenosis have profound disturbances of the function and structure of internal organs, microcirculation and tissue metabolism. Correction of the V stage of the defect should be performed only by the closed method.

摘要

分析了200例二尖瓣狭窄IV期和V期患者的检查与治疗结果。确立了该缺损IV期和V期鉴别诊断的某些主要标准。为两组患者选择了手术治疗方法。作者认为IV期最典型的特征如下:实质器官的功能和结构、微循环、组织代谢。认为通过闭式和开放式方法对缺损进行手术矫正都是可行的。二尖瓣狭窄IV期患者存在内脏器官功能和结构、微循环及组织代谢的严重紊乱。缺损V期的矫正仅应通过闭式方法进行。

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