:—Statistical Analysis of 1041 Cases of Cardiovascular Lesions in National Sanatoriums—
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This paper is an analysis of 1, 041 cases of cardiovascular diseases operated on, between January 1978 and December 1979.Five hundred and twenty-six of these 1, 041 cases were congenital heart disease(CHD). and 515 were acquired heart disease(AHD).1) The review of 526 cases of CHD.The results of the operations for ASD, VSD, PS, and PDA were excellent except for the rare cases. PDA was treated by the method of ligation of ductus in all cases in 1979, and axillary approaches were used in 19 cases.Otherwise, the results of the operations for 74 cases of complex heart diseases including 39 cases of TF and 18 cases of ECD were very poor; the mortality rates were as follows; 17% of TF, 22% of ECD, and 48% of other complex heart diseases. Thus we must continue efforts to reduce the deleterious efforts hereafter.2) The review of 515 cases of AHD.Among the 98 cases of MS, 70 cases were treated by open mitral commissurotomy, and 18 cases were by mitral valvar replacement (MVR). Of the 55 cases of other mitral valvar diseases, 54 cases were treated by open operation, and 51 cases were MVR.Among the 26 cases of aortic valvar diseases, 23 cases were AVR. All of the 50 cases of combined valvar diseases were treated in open operation. The mortality rate of the 131 cases of valvar replacement was 11%.The results of the operations for 72 cases of ischemic heart diseases were satisfactory in 66 cases (92%).The managements with implanted pacemakers were reliable in 166 cases except for one
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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