Search

二尖瓣置換同期行雙極射頻消融術治療風濕性二尖瓣病變合并心房顫動的療效分析

目的分析二尖瓣置換同期行雙極射頻消融術治療風濕性二尖瓣病變合并心房顫動的臨床效果。 方法2009年6月至2012年6月成都軍區總醫院共收治風濕性二尖瓣病變合并心房顫動患者200例，其中男80例、女120例，年齡37～63（48.3±11.0）歲。根據是否同期行雙極射頻消融術將患者分為兩組，試驗組（n=100）患者瓣膜置換術同期行雙極射頻消融術，對照組（n=100）單純行瓣膜置換術。 結果試驗組體外循環時間和主動脈阻斷時間較對照組均顯著延長［（64.6±12.7）min vs.（60.8±10.8）min，P=0.024；（55.3±12.1）min vs.（49.8±10.5）min，P=0.001］，住院費用顯著增加［（11.2±3.5）萬元vs.（9.8±2.2）萬元，P=0.001］，死亡率差異無統計學意義（2% vs.1%，P=0.561）。試驗組在術畢、術后１年時的心房顫動轉復率均顯著高于對照組（82.0% vs.27.0%，72.9% vs.9.6%，P<0.05）。 結論二尖瓣置換同期行雙極射頻消融術治療風濕性二尖瓣病變合并心房顫動患者是安全、有效的。

氯喹中毒性視網膜病變一例

Fundus Analysis of Familial Exudative Vitreoretinopathy

ObjectiveTo observe and explore the fundus characteristics and fundus fluorescein angiography of familial exudative vitreoretinopathy (FEVR) in different stages. MethodsA total of 15 patients (23 eyes) diagnosed as FEVR in the West China Hospital of Sichuan University from January 2007 to November 2013 were included. Clinical data and reports of fundus exams and fundus fluorescein angiography (FFA) were retrospectively analyzed. ResultsOne eye (4.35%) was classified as stage Ⅰ, 10 eyes (43.48%) were classified as stage Ⅱ, 8 eyes (34.78%) were classified as stage Ⅲ, and 1 eye (4.35%) and 3 eyes (13.04%) were classified as stage Ⅳ and V, respectively. The outcomes of fundus exams showed that the number of peripheral retinal blood vessels increased, and vessels straightened as well as narrowed, especially in the temporal area. FFA showed blood vessels suddenly shut in the equatorial retina and peripheral non-perfusion areas were observed. ConclusionTypical fundus characteristics and fundus fluorescein angiography changes of FEVR can be observed in different stages. Comprehensive fundus exams and family history are helpful to confirm relevant diagnosis.