应用国产球囊导管经皮穿刺行二尖瓣球囊成形术

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1、维普资讯http://www.cqvip.com弓／；／第13卷第2期新乡医学院学报VO1．13No．21996年6月JournalofXinxiangMedicalCollegeJun1996应用国产球囊导管经皮穿刺行二尖瓣球囊成形术，2赵国安刘建李素芬黄正文刘建恩刘金铎关-，目的振计应用国产球囊导管经皮穿刺二尖MethodAfterrightcardiac辩球囊成彤术治疗二尖瓣技窄的效果catheterizationthroughrightfemoral方法右心导管检查后，行左或右房影定位venipuncture，eitherleftorright法进行房间隔穿刺。穿刺成功后应用国产球囊

2、导atrum—shadoworientationwasusedto管按常规进行二尖瓣球囊成形术，扩张前后测定applya打i0septopunctureWhen左房覆左室压力，以计算二尖瓣跨瓣压差并计算atrioseptopuncturesucceeds，balloon=尖瓣口面积。cathetermadejnChinawasroutinelyused结果倒中例术中成功(92％)，J剖forballoonmitra1valvuloplasty．The1eft术中发生惠性心包填塞，后行外科二尖瓣闭式分atriumpressure(LAP)andleftventricle离术：』例术后出现中度二

3、尖瓣返流，无J例死pressure(LVP)bothbeforeandafter亡。成功的病例术后均恢复日常生活，能够从事dilatationweremeasuredinordertocalcu除强体力劳动外的一般活动和生产，1atethetransmitra1pressuredifferences结论用国产球囊导管进行经皮穿刺二尖瓣(TPD)Themitra1valuearea(MVA)球囊成形术也能取得较满意疗效。werecalculatedalso．关键词国产球囊导管；经皮穿刺二尖鬻I球ResultsAmong25patientsperformed塞塞必堕；三盐鲢焦互‘theopera

4、tion，23cases(92％)got中图分类号R542．5tR654．2succeessduringtheprocedures；1casesoccurredacutecardiactamponadeduringBallooncathetermadeinChinausedtheoperationandreceivedsurgicalclosedforpercutaneousballoonmitralmitralcommissurotomy；anotherpatientvaovuloplastyoccurredmoderatemJtralregurgitationpost0peratiVe1

5、y；butnopatientdiedSuc—Z丑DGUO-An，LIUJin—ceeded~asesrestorednorma11ireaftertheZhuang,LISu一只口f．operationandwereabletoparticipatein(Departmentofcardtology，theFirstcommonexercisesOr1obsexcepthardAffitiatedHospita1)physca1works．CuneluslonBallooncathetermadeinObjectiveToresearchtheeffectofbal—ChJnausedfor

6、PBMVcanalsoachievealooncathetermadeinChinafortreatingbettertherapecticalefect，mitralstenosisbywayofpercutaneousbalKeywordsballooncathetermadeinloonmitralvalvuloplasty(PBMV)ChJna；percutaneousballoonmitra1valvuloplasty；treatment；mitralstenosis作者单位新乡医学院一附院心内科，453100河南卫辉维普资讯http://www.cqvip.com第2期赵国安，等

7、．应用国产球囊导管经皮空剌行二尖瓣球囊成形术·135·经皮穿刺二尖瓣球囊成形术1．75kPa，二尖瓣舒张期跨瓣压差平均减小(percutaneousballoonmitral189kPa，二尖瓣口面积平均扩大0．94cmvalvuloplasty，PBMV)是目前治疗风湿(见附表)性二尖瓣狭窄的一种非外科疗法新技术。附表23例PBMV前后血液动力学变化我院1992年9月～1994年11月对25例(±s)二尖瓣