Zhang B R, Xu Z Y, Zhu J L
Changhai Hospital, Second Military Medical University.
Zhonghua Wai Ke Za Zhi. 1994 Jun;32(6):333-7.
Between Jan. 1982 and July, 1993, 102 patients with rheumatic giant heart disease (cardio-thoracic ratio > or = 0.8) underwent valve replacement. Heart functional class III was in 54 patients, and class IV in 48. Early mortality was 8.8%, late mortality 3.6%. We classified the patients into five types, based on the valvular lesions, dilated degree of each atrial and ventricular chamber: Type I, giant left atrium (LA); Type II, obvious enlargement of LA and left ventricle (LV); Type III; obvious enlargement of LA, right atrium and ventricule (RA and RV); Type IV; all chambers obviously dilated; Type V, giant LA and RA. Clinical results showed that this kind of classification can reflect kinds of diseased valves, pathophysiological changes and clinical characteristics, and postoperative early and late outcomes, also can offer useful suggestions to operative method selection, and has great clinical significance for perioperative management.
1982年1月至1993年7月期间，102例风湿性巨大心脏病（心胸比率≥0.8）患者接受了瓣膜置换术。心功能Ⅲ级54例，Ⅳ级48例。早期死亡率为8.8%，晚期死亡率为3.6%。我们根据瓣膜病变、各心房和心室腔的扩张程度将患者分为五种类型：Ⅰ型，巨大左心房（LA）；Ⅱ型，LA和左心室（LV）明显增大；Ⅲ型，LA、右心房和心室（RA和RV）明显增大；Ⅳ型，所有腔室明显扩张；Ⅴ型，巨大LA和RA。临床结果表明，这种分类能够反映病变瓣膜的种类、病理生理变化及临床特征，以及术后早晚期结果，还可为手术方法的选择提供有益的建议，对围手术期管理具有重要的临床意义。
