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《46例心臟瓣膜病合并冠心病同期手術(shù)的臨床療效分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、授予單位代碼10089學(xué)號(hào)或申請(qǐng)?zhí)?0153242中國(guó)圖書分類號(hào)R541.4+R542.5HebeiMedicalUniversity碩士學(xué)位論文專業(yè)學(xué)位46例心臟瓣膜病合并冠心病同期手術(shù)的臨床療效分析研究生：張國(guó)利導(dǎo)師：陳子英教授專業(yè)：外科學(xué)二級(jí)學(xué)院：河北醫(yī)科大學(xué)第二醫(yī)院2018年3月目錄中文摘要························································································1英文摘要································
2、························································2英文縮寫························································································4研究論文46例心臟瓣膜病合并冠心病同期手術(shù)的臨床療效分析前言························································································5材料與方法·
3、···········································································5結(jié)果······················································································7附表······················································································8討論···················
4、···································································11結(jié)論······················································································17參考文獻(xiàn)··············································································17綜述心臟瓣膜病合并冠心病同期手術(shù)的圍手術(shù)期處理·········
5、···················21致謝······························································································33個(gè)人簡(jiǎn)歷·······················································································34中文摘要46例心臟瓣膜病合并冠心病同期手術(shù)的臨床療效分析摘要目的：探討心臟瓣膜病合并冠心病同期手術(shù)治療的臨床效果，總結(jié)臨床經(jīng)驗(yàn)
6、。方法：回顧性分析2016年1月-2017年12月在我院心臟外科同期行心臟瓣膜病合并冠心病手術(shù)治療的患者共46例，期間行單純冠狀動(dòng)脈旁路移植術(shù)的患者共858例（死亡率為1%）。其中男性患者28例（60.8%），女性患者18（39.2%）例；平均年齡（59.4±7.3）歲；平均住院天數(shù)（30.7±9.0）天；體外循環(huán)時(shí)間（159.7±50.1）min；主動(dòng)脈的阻斷時(shí)間為（93.6±35.1）min；輔助循環(huán)時(shí)間（56.0±25.3）min；重癥監(jiān)護(hù)室時(shí)間（3.8±2.4）天；呼吸機(jī)輔助時(shí)間（1.8±1.3）天；通過觀察患者的臨床資料，比較術(shù)前、術(shù)
7、中、術(shù)后相關(guān)指標(biāo)變化及術(shù)后并發(fā)癥發(fā)生情況。結(jié)果：通過對(duì)本組患者術(shù)前和術(shù)后1周超聲心動(dòng)圖數(shù)據(jù)的收集，歸納，總結(jié)，進(jìn)行統(tǒng)計(jì)學(xué)分析。左心室射血分?jǐn)?shù)（LVEF，leftventricularejectionfraction）與術(shù)前相比無(wú)統(tǒng)計(jì)學(xué)意義，左心室舒張末期內(nèi)徑（LVEDD，leftventricularend-diastolicdimension）與術(shù)前相比，有較好的改善，存在差異性，具有統(tǒng)計(jì)學(xué)意義（P<0.05）。術(shù)后出現(xiàn)并發(fā)癥共10例，其中肺部感染有4例，切口愈合不良有1例，神經(jīng)系統(tǒng)并發(fā)癥有1例，惡性心律失常2例，多器官功能衰竭1例，低心排綜
8、合征1例。本組死亡患者4例，死亡率為8.6%。結(jié)論：1.心臟瓣膜病合并冠心病，病情較復(fù)雜，是一種高危疾病。2.心臟瓣膜病合并冠心病同期手術(shù)治療，與單一
