Valvulotomy for Mitral Stenosis
Valvulotomy for Mitral Stenosis
复制标题
二尖瓣狭窄的瓣膜切开术
作者：
C. Baker;R. Brock;M. Campbell
从通过手术缓解二尖瓣狭窄的许多尝试到现在已经过去了四分之一个世纪。通过直接攻击阀门来解决这个问题的最持久的努力是由卡特勒和他的同事做出的（卡特勒和贝克，1929）。他们的第一个病人存活了四年，并且被认为已经有所改善；另外6人在手术后不久死亡，Allen和Graham（1922）和Pribram（1926）也报道了个别病例。仅苏塔（1925）一人就在该国发表了一篇重要论文，取得了进一步的成功。这些早期的努力在很长一段时间内没有成功，许多人认为直接对心脏瓣膜进行手术太危险，不可行。近年来，重新考虑这一点的必要性变得越来越明显，因为胸外科手术、麻醉和病人的术后护理方面的巨大进步已经完全改变了成功的前景。认为手术成功可直接缓解瓣膜狭窄
It is now a quarter of a century since a number of attempts were made to relieve mitral stenosis by operation. The most sustained efforts to solve this problem by direct attack on the valves were made by Cutler and his associates (Cutler and Beck, 1929). Their first patient survived four years and was thought to have been improved; six others died soon after operation, as also did single cases reported by Allen and Graham (1922) and by Pribram (1926). Souttar (1925) alone has published a further success in an important paper from this country. These early efforts were succeeded by a long period of inaction, and many thought that direct surgery of the valves of the heart was too dangerous to be practicable. The need for reconsidering this has become increasingly clear during recent years, because great advances in thoracic surgery and anaesthesia and in the aftercare of the patient have entirely changed the prospects of success. That successful operations for the direct relief of valvular stenosis