The Relationship between EuroSCORE High Prediction Risk and Low Operation Mortality in 376 Cases of Heart Valve Operation
Abstract: Objective: To analyze the relationship between EuroSCORE high prediction risk and low operation mortality in 376 cases of cardiac valve replacement, and evaluate the value of heart valve re-placement in the treatment of patients with severe heart valve disease. Methods: 376 cases of heart valve replacement form March 2007 to December 2012 were analyzed retrospectively in our center. The yearly change trends of the average value of the European heart operation risk assessment system (EuroSCORE) and operation mortality were contrasted. Then, the patients were divided into two groups. The severe group was divided with severe heart valve disease diagnosis standard, the remaining patients into common group. The average EuroSCORE, operation mortality, ventilation time, and the incidence of complications (including preoperative myocardial infarction, stroke, malignant arrhythmia, acute renal failure and respiratory insufficiency) of the two groups were compared between two groups. Results: The average EuroSCORE increased from 1.9 in 2007 to 5.7 in 2012; operation mortality decreased from 3.1% in 2007 to 2.3% in 2012. The average EuroSCORE was increasing year by year and the operation mortality declined slightly. The differences of the average EuroSCORE, operation mortality, ventilation time, and the incidence of complications between severe group and common group were statistically significant (p < 0.05). But the operation mortality of the two groups of was significantly lower than predicted mortality. Conclusion: When the operation indications continue to expand, the average EuroSCORE of the pa-tients in our hospital with heart valve disease increased year by year, operation mortality declined slightly. After the improvement of sufficient preoperative preparation, operation technology and strict preoperative care and treatment, the operation mortality of patients with severe heart valve disease can reduce. The prognosis of patients with high risk prediction can improve.
文章引用: 谭 燕 , 徐志伟 , 胡传贤 , 黄 苏 (2014) 376例心脏瓣膜手术EuroSCORE高预测风险与低手术死亡率的关系。 亚洲心脑血管病例研究， 3， 17-21. doi: 10.12677/ACRVM.2014.34004
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