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題 名 | Experience of Surgical Treatment for Acute Left Ventricular Rupture with Massive Hemorrhage=急性左心室破裂之外科治療經驗 |
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作 者 | 黃書建; 陳益祥; 李君儀; 林芳郁; 許榮彬; 張重義; 王水深; 朱樹勳; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:1 2001.01[民90.01] |
頁 次 | 頁1-9 |
分類號 | 416.262 |
關鍵詞 | 急性左心室破裂; 外科治療; Left ventricular rupture; Mitral valve surgery; Coronary artery disease; ECMO; |
語 文 | 英文(English) |
中文摘要 | 急性左心室破裂合併大量出血為一立即致命之緊急狀況,如果不立即處理,通常在1-2分鐘便會死亡。在過去15中,本院有7例在左心室破裂接受外科治療,施行修補手術,第一組有5位病人是與開心手術有關所造成的,第二組有2位病人是因心肌梗塞造成。造成的原因,可能在僧帽瓣手術時,瓣膜大小不符,或因心內引流管造成心臟傷害。甚至是心臟組織太脆弱所導致。所有的病例皆嘗試修補,而立即補成功的有4例(57%),其中有2例使用葉克膜來維持,但只有2例(28.5%)出院且長期存活,其中的死因是血流不止以及持續性之心臟衰竭,可見葉克膜在這類病人中仍扮演相當重要的角色。 |
英文摘要 | Background Acute left ventricular rupture (ALVR) with massive hemorrhage is a disaster that may cause immediate mortality if not treated in time. We presented our experience about surgical treatment for ALVR. Methods In the past 15 years, seven patients of ALVR were included and received surgical intervention for ALVR. Group I (N=5) were operation-related, including 3 with mitral valve replacement, 1 with coronary artery bypass surgery, and 1 with arterial switch operation. The possible etiology might be due to size mismatch of valve or over-trimming the papillary muscle in mitral valve surgery; venting catheter injury in coronary artery surgery; tear of the fragile and edematous myocardium in the newborn. Group II (N=2) were related to myocardial infarction. Results Direct repair or patch repair was tried in all. There were 4 immediate surgical survivals (57%), in which 2 patients needed extracorporeal membrane oxygenation (ECMO) for myocardial stunning in 4 immediate survivors (50%). But only two patients in group I could be discharged from the hospital in a good status (28.5%). The cause of death could be concluded: uncontrolled bleeding and persistent myocardial failure due to the pre-existing disease. Extracorporeal membrance oxygenation may play an important role in rescuing this group of patients. Conclusion ALVR is a rare but devastating condition for both cardiac surgeons and patients. Proper and immediate surgical management is the only treatment of choice, providing survival of less than 30%. |
本系統中英文摘要資訊取自各篇刊載內容。