| 马 恩,王宗社,舒端朝,王小军,冯 涛.老年瓣膜病患者瓣膜置换术术后死亡原因分析[J].,2017,17(8):1517-1519 |
| 老年瓣膜病患者瓣膜置换术术后死亡原因分析 |
| Analysis of the Cause of Death for Elderly Patients with Valvular after Valve Replacement |
| 投稿时间：2016-10-12 修订日期：2016-10-29 |
| DOI：10.13241/j.cnki.pmb.2017.08.029 |
| 中文关键词: 瓣膜病 瓣膜置换术 老年 死亡分析 |
| 英文关键词: Valvular disease Valve replacement Old age Death analysis |
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| 中文摘要: |
| 摘要 目的：分析老年瓣膜病在瓣膜置换术后的死亡原因，为降低术后死亡率提供科学依据。方法：回顾分析我院以瓣膜置换术治疗的329例老年瓣膜病变患者的资料，对比分析生存患者和死亡患者之间的差异，总结瓣膜置换术后患者死亡的危险因素。结果：心脏瓣膜置换术后死亡率8.51%，单因素分析发现年龄、心功能分级、置换瓣膜数、LAD、LVEF、LVEDD、CPB时间、主动脉阻断时间、置换瓣膜数目与术后死亡有关联(P<0.05)，Logistic回归分析发现高龄、心功能差、LVEED、CPB为死亡独立危险因素(P<0.05)。结论：高龄、心功能差、LVEED过度增大、CPB过长均是瓣膜置换术后的老年瓣膜病患者死亡的独立危险因素，建议临床在诊治中加以警惕。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the causes of death for elderly patients with valvular after valve replacement, so as to provide scientific basis for reducing postoperative mortality. Methods: The clinical data of 329 cases of elderly patients with valve disease with valve replacement surgery in our hospital was taken for retrospective analysis. The differences of the survival patients and the patients died were taken for comparative analysis. The risk factors of death in patients after valve replacement were summarized. Results: The mortality rate of heart valve replacement surgery was 8.51%, univariate analysis showed that age, cardiac function, valve replacement number, LAD, LVEF, LVEDD, CPB time, aortic clamping time, number of valve replacement was associated with postoperative mortality (P <0.05), Logistic regression analysis showed that age, poor cardiac function, LVEED, CPB were the independent risk factors of death (P <0.05). Conclusion: The elderly factor, poor cardiac function, excessively increased LVEED, long CPB are independent risk factors for death of heart valve replacement surgery in elderly patients with valvular, and it is recommended to be vigilant in the clinical diagnosis and treatment. |
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