老年心脏瓣膜病142例外科治疗体会

摘要

Objective To summarize the experience of surgical treatment of valvular heart disease in elderly patients.Methods The clinical data of 142 elderly patients over 65 years old received cardiac valve replacement with cardiopulmonary bypass were retrospectively analyzed.Results Twelve cases died, the mortality was 8.45%.One hundred and thirty cases were followed up for 3~36 months, no patients died.Conclusion To improve the operation skills and perioperative treatment, elderly patients undergoing cardiac valve replacement is safe and can achieve satis-factory effect.%目的：总结老年患者心脏瓣膜病的临床外科治疗经验。方法回顾性总结142例65岁以上老年患者体外循环直视心瓣膜置换术的临床资料。结果住院死亡12例，病死率为8.45％。出院随访130例，随访时间3～36个月，无死亡患者。结论提高手术技巧和完善围术期处理，老年患者行心瓣膜置换术是安全并能达到满意效果的。