医学研究与教育 ›› 2013, Vol. 30 ›› Issue (2): 44-48.

• 临床研究 • 上一篇    下一篇

心脏瓣膜置换术后心律失常的相关因素与处理

王静砉1,2,柳克晔3   

  1. 1.河北大学,河北 保定 071000
    2.保定市第一医院心脏血管外科,河北 保定 071000
    3.河北大学附属医院心脏科,河北 保定 071000
  • 收稿日期:2016-10-09 修回日期:2016-10-09 出版日期:2013-04-25 发布日期:2013-04-25

Retrospective analysis on the treatment of risk factors determining arrhythmias following cardiac valve replacement

  • Received:2016-10-09 Revised:2016-10-09 Online:2013-04-25 Published:2013-04-25

摘要: 目的探讨体外循环心脏瓣膜置换术后发生心律失常的相关因素和治疗措施.方法回顾性分析52例心脏瓣膜置换术患者的临床资料,术后监测心律失常发生率,采用统计学方法分析发生心律失常的高危因素.结果30例患者术后发生心律失常,发生率57.7%,无导致死亡患者.严重心功能不全、主动脉阻断时间≥80 min、术前心律失常、电解质紊乱(低钾低镁)是术后心律失常发生的独立危险因素.结论重视围手术期改善危险因素,严密的监护,及时、有效的处理,有望减少心脏瓣膜置换术后心律失常的发生和改善预后.

关键词: 心脏瓣膜病, 瓣膜置换术, 心律失常

Abstract: Objective To analyze the risk factors of arrhythmias and its treatment following cardiac valve replacement undergoing Cardiopulmonary bypass. Methods The clinic date of 52 patients undergoing cardiac valve replacement which were studied retrospectively. The risk factors of arrhythmias were identified by using univariate andmultivariate logistic regression analysis. Results There were 30 patients who had arrhythmia, occurrence rate 57.7%, no death case. The high risk factors of arrhythmias were preoperative arrhythmias, electrolyte disturbance, NYHA function Class Ⅲ-Ⅳ, aortic-cross clamping time≥80 min after operation respectively. conclusion Active measures to avoid occurrence of these predictors or correct them should be taken so as to decrease postoperative occurrence rate and improve prognosis.

Key words: valvular heart disease, valve replacement, arrhythmias

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