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[二尖瓣狭窄晚期手术中的肺部并发症]

[Pulmonary complications in the surgery of advanced stages of mitral stenosis].

作者信息

Stepanov V V

出版信息

Vestn Khir Im I I Grek. 1980 Jun;124(6):22-7.

PMID:7414855
Abstract

Pulmonary complications in late terms of mitral stenosis were studied by clinico-functional and patho-morphological investigations of lungs in 51 patients operated for mitral stenosis of the IV-V stage, with an additional retrospective analysis of autopsy records and case histories of 163 patients with mitral stenosis. It was noted that pulmonary complications in the postoperative period at late stages of mitral stenosis as a rather frequent event considerably aggravate the prognosis of surgery and are responsible for 40% of lethal outcomes. The pulmonary complications were found to be related to the preceding background of destructive changes in the lung tissue associated with lowered functional indices of the external respiration.

摘要

通过对51例接受IV - V期二尖瓣狭窄手术患者的肺部进行临床功能和病理形态学研究,并对163例二尖瓣狭窄患者的尸检记录和病史进行回顾性分析,对二尖瓣狭窄晚期的肺部并发症进行了研究。结果发现,二尖瓣狭窄晚期术后肺部并发症是相当常见的事件,会显著加重手术预后,且导致40%的致死率。肺部并发症被发现与肺组织先前的破坏性改变背景有关,这些改变与外呼吸功能指标降低相关。

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