Amosov N M, Atamaniuk M Iu, Mintser O P, Tomashpol'skaia B G, Zlatnik A
Kardiologiia. 1977 Jan;17(1):14-9.
The paper is devoted to the determination of the prognostic value of preoperative and intraoperative symptoms observed in aortic valve prosthetic replacement, as well as to the development of a quantitative criterion of the severity of the patient's state for the evaluation of the risk factor of surgery. The peculiarities of the clinical pattern were analysed in 117 patients operated on for aortic valve pathology. The computerization of the assessment of individual symptoms and their combinations (36 symptoms, 114 signs pertaining to the patient's history, objective, instrumental and radio-surgical examinations) was carried out on the "Minsk-22" computer. The leading factors in the assessment of cardiovascular lesions include the systolic and diastolic pressure, the degree of heart size enlargement, the end diastolic pressure in the left ventricle. Among the independent factors, of greatest prognostic value are the degree of calcification of the aortic valve cusps, the duration of the disease, and the period after the onset of subjective symptoms. The duration of the operative procedure and of the perfusion serves as an additional valuable guideline in making the prognosis of aortic valve replacement.
本文致力于确定在主动脉瓣人工置换术中观察到的术前和术中症状的预后价值，并制定一种用于评估患者病情严重程度的定量标准，以评估手术风险因素。对117例因主动脉瓣病变接受手术的患者的临床模式特点进行了分析。在“明斯克 - 22”计算机上对个体症状及其组合（36种症状、114种与患者病史、客观检查、仪器检查和放射外科检查相关的体征）进行了计算机化评估。评估心血管病变的主要因素包括收缩压和舒张压、心脏大小扩大程度、左心室舒张末期压力。在独立因素中，最具预后价值的是主动脉瓣叶钙化程度、疾病持续时间以及主观症状出现后的时间。手术过程和灌注的持续时间是预测主动脉瓣置换预后的另一个有价值的指标。
