Keon W J, Bedard P, Akyurekli Y, Tan K, Slesar S
J Cardiovasc Surg (Torino). 1976 Mar-Apr;17(2):140-6.
Between December 1970 and October 1973, 74 patients underwent emergency myocardial revascularization for the relief of acute coronary insufficiency. Through our experience in this area, we have established three categories for which we perform emergency surgery. The first of these is cardiogenic shock complicating acute myocardial infarction for which 14 patients underwent emergency saphenous vein grafting. Seven of these patients expired during operation and one died three months after operation. The second category is acute unstable myocardial infarction for which 25 patients received surgery. There were no operative deaths in this group, but two patients died at six weeks and four months after operation. Thrity-five patients were classified as pre-infarctional angina, the third category for which we perform surgery on an emergency basis. There was one operative death and two late deaths at four and ten months in this group of patients. Our experience suggests that immediate coronary angiography and revascularization will improve survival in the three above-named categories.
1970年12月至1973年10月期间，74例患者接受了急诊心肌血运重建术以缓解急性冠状动脉供血不足。通过我们在该领域的经验，我们确定了进行急诊手术的三类情况。第一类是并发急性心肌梗死的心源性休克，14例患者接受了急诊大隐静脉移植术。其中7例患者在手术期间死亡，1例在术后3个月死亡。第二类是急性不稳定型心肌梗死，25例患者接受了手术。该组无手术死亡，但有2例患者在术后6周和4个月死亡。35例患者被归类为梗死前心绞痛，这是我们进行急诊手术的第三类情况。该组患者中有1例手术死亡，2例在术后4个月和10个月出现晚期死亡。我们的经验表明，立即进行冠状动脉造影和血运重建将提高上述三类患者的生存率。
