妊娠合并心脏瓣膜病的治疗_马依彤.pptVIP

  1. 1、有哪些信誉好的足球投注网站(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。。
  2. 2、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  3. 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
  4. 4、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
  5. 5、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们
  6. 6、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
  7. 7、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
妊娠合并心脏瓣膜病的治疗_马依彤

妊娠合并风湿性心脏病 常侵犯心脏和四个瓣膜, 各瓣膜承受压力负荷不同 受损的情况不同 依次为: ●单纯二尖瓣 ●二尖瓣合并主动脉瓣 ●二尖瓣合并三尖瓣 ●二尖瓣合并肺动脉瓣 * Percutaneous balloon mitral valvuloplasty was successful in 95% of patients, as evaluated by the Gorlin formula in the catheterization laboratory, and in 90.5%, as evaluated by the pressure half-time method 48 h after the procedure. Two patients had partial success in that their mitral valve area did not increase to .1.5 cm2. Pre- and post-PBMV hemodynamic data for these patients are shown in Table 2. Fetal and neonatal complications. In group I (PBMV), there was only one neonatal death in a premature child with an esophageal malformation. No fetal death occurred in group I. In contrast, there were six fetal and two neonatal deaths in group II (surgical group). The difference in the combined occurrence of fetal and neonatal deaths was significant when the groups were compared (1 vs. 8, respectively; p 5 0.025) (Table 3). Fetal deaths occurring up to 24 h after the operation and PBMV were 0 and 5, respectively (p 5 0.051). In the five patients operated on after 1990 for mitral stenosis without a pliable valve, a porcine mitral valve prosthesis was used, and there were three fetal losses. In the three patients who were submitted to mitral valve replacement for mitral regurgitation, there was one fetal loss. * Figure 5. In women with bioprosthetic valves, freedom from valve loss according to whether or not women had undergone pregnancies. Test of difference between pregnancy and no-pregnancy groups, P50.83. Circulation 1999;99;2669-2676 Robyn A. North, Lynn Sadler, Alistair W. Stewart, There were 11 operative deaths (4.7%) and 34 late deaths (14.7%). The operative death rate was 11.6% (95% CI, 3.9% to 25.1%) from 1972 to 1979, 2.9% (95% CI, 0.8% to 7.2%) from 1980 to 1989, and 4.1% (95% CI, 0.5% to 14.0%) from 1990 to 1992 (P50.10). The late death rate was 3 per 100 patient-years. Among the late deaths, 44% were valve related, 20% were cardiac but not valve rela

文档评论(0)

pangzilva + 关注
实名认证
文档贡献者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档