瓣膜置換術(valve replacement surgery)

一、手術條件:盡可能早期手術,避免再產生之後才進行手術,效果會不好
1.受損左室功能(LVEF≤50%)(用於MR:≤60%)
2.嚴重的左心室擴張(LVESD>50mm或左室舒張末期內徑>70mm或LVESD>25公厘/平方米BSA)(用於MR:≧45mm)中
參見:Dilated cardiomyopathy, DCM(擴張型充血性心臟病)
3.Pulmonary hypertension(肺高壓)(systolic pulmonary artery pressure, SPAP>50毫米汞柱)
4.Atrial Fibrillation, AF(心房顫動)
二、手術方式

資料來源:venturebeat
三、術前復健
呼吸運動訓練:教導有效的呼吸方式,防止因術後傷口疼痛而導致不正確的呼吸方式,以降低人工呼吸器之使用與加護病房住院日。
姿勢擺位與四肢活動:可防止術後臥床姿勢不良導致僵硬、攣縮等問題,並且提升靜脈血液回流,減少休克與頭暈。
咳嗽訓練:指導病人如何正確使用無痛咳嗽法,以利術後痰液排出,防止肺炎發生。
資料來源:奇美醫學中心
▼心臟(heart) 顯示/隱藏(show/hide)

1 意見:

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