急症经皮球囊二尖瓣扩张术在救治二尖瓣狭窄合并急性肺水肿的应用
崔炜,戴汝平,蒋世良,黄连军,谢若兰
摘要(Abstract):
本文报告5例合并急性肺水肿的二尖瓣狭窄患者进行急症经皮球囊二尖瓣扩张术(PBMV)取得成功的经验。其中女性4例,男性1例,年龄42±13.2岁。5例患者的手术均成功,术后肺水肿立刻消退,其中4例症状明显改善出院,1例于PBMV后1个月行择期行二尖瓣置技术.结果表明,采用In-oue技术对二尖瓣狭窄合并急性肺水肿患者进行急症治疗是一种有效的方法。
关键词(KeyWords): 经皮球囊二尖瓣扩张术;急性肺水肿
基金项目(Foundation):
作者(Author): 崔炜,戴汝平,蒋世良,黄连军,谢若兰
参考文献(References):
- 1Inoue K, Owaki T, Nakamura F, et al. Clinical application oftransvenous Antral commissurotomy by a new ballooncatheter. J Thora Cardiovasc Surg,1984, 87: 394.
- 2 Dai RP,Jiang SL, Huang LJ,et al. Percutaneous transseptalballoon valvuloplasty for dilating mitral valve stenosis (re-Port of 200 cases). Chin Med Sci J, 1993, 8: 191.
- 3 Barlow JB. Surgical aspects of mitral valve disease. In: Bar-low JB ed. Perspective on the mitral valve. Philadelphia: FADavis, 1987: 247-260.
- 4 Patel JJ,Munchnger MJ, Mitha AS,et al. Percutaneous bal-loon dilatation of the mitral valve in critically ill young pa-tients with intractable heart failure. Br Heart J, 1995, 73:555.
- 5 Trevino AJ, Ibarra M, Garcia, et al. Immediate and long-term results of balloon mitral commissurotomy for rheumat-ic mitral stenosis:comparison between Inoue and double-bal-loon techniques. Am Heart J, 1996,131: 530.