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1985年4月至1995年4月,共收治风湿性心脏辦膜病及辦膜手术后罹患妇科疾病需行手术治疗者40例,均成功地进行了腹部手术。术前心功能Ⅰ～Ⅱ级者均在心脏监护条件下按常规施行手术;心功能Ⅲ级者需经心内科治疗改善心功能后才手术,术中无心衰发生。心脏辦膜置换术后患者,应术前两周调整好抗凝剂用量,使凝血酶原时间延长50%左右,术前两天停用华法令,术后24～36小时重新开始抗凝治疗。采用硬外麻醉是理想的选择。
April 1985 to April 1995, a total of 40 cases of rheumatic cardiomyopathy and film-free surgery after suffering from gynecological diseases required surgical treatment of 40 cases, were successful in abdominal surgery. Preoperative heart function Ⅰ ~ Ⅱ were under cardiac monitoring conditions under the routine operation; heart function class Ⅲ patients need cardiac surgery to improve cardiac function after surgery, no heart failure during surgery. Cardiac membrane replacement surgery patients, should adjust the amount of anticoagulant two weeks before surgery to extend the prothrombin time about 50%, warfarin two days before the start of surgery, 24 to 36 hours after the resumption of anticoagulant therapy . External hard anesthesia is the ideal choice.