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急诊心肌血运重建

Emergency myocardial revascularization.

作者信息

Dubost C, Deloche A, Carpentier A, Relland J, Sellier P, Vial F, Piwnica A, Fabiani J N

出版信息

Postgrad Med J. 1976 Dec;52(614):743-8. doi: 10.1136/pgmj.52.614.743.

DOI:10.1136/pgmj.52.614.743
PMID:1087725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2496435/
Abstract

From 1969 to 1975, 175 patients with acute coronary insufficiency underwent emergency saphenous vein aorto-coronary bypass grafting (SVBG). The patients were divided into two groups: group I, unstable angina (165 patients) and group II, acute evolving myocardial infarction (ten patients). In group I, the hospital mortality was 8-4%, the incidence of post-operative myocardial infarction was 10-3%. Long-term follow-up was obtained for an average of 25 months, functional improvement was definite in the majority of the patients and actuarial survival curves show 87% patients alive at the end of 48 months. In group II, the hospital mortality was 30%; seven of ten patients had good results.

摘要

1969年至1975年期间,175例急性冠状动脉供血不足患者接受了急诊大隐静脉主动脉 - 冠状动脉旁路移植术(SVBG)。患者被分为两组:第一组,不稳定型心绞痛(165例患者);第二组,急性进展性心肌梗死(10例患者)。在第一组中,医院死亡率为8.4%,术后心肌梗死发生率为10.3%。平均进行了25个月的长期随访,大多数患者功能有明显改善,精算生存曲线显示48个月结束时87%的患者存活。在第二组中,医院死亡率为30%;10例患者中有7例效果良好。

相似文献

1
Emergency myocardial revascularization.急诊心肌血运重建
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2
Late results following emergency saphenous vein bypass grafting for unstable angina.不稳定型心绞痛急诊大隐静脉旁路移植术后的远期结果
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Emergency coronary surgery: Evolving indications.急诊冠状动脉手术:不断演变的适应症
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Current status of aorto-coronary bypass graft surgery.主动脉冠状动脉搭桥手术的现状
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Myocardial infarction and preinfarction: results of emergency myocardial revasularization.心肌梗死与梗死前状态:急诊心肌血运重建的结果
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Saphenous vein aorto-coronary bypass graft. Personal experience.大隐静脉主动脉-冠状动脉旁路移植术。个人经验。
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Emergency myocardial revascularization.急诊心肌血运重建
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Coronary endarterectomy: an adjunct to coronary artery bypass grafting.冠状动脉内膜切除术:冠状动脉旁路移植术的一种辅助手段。
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10
Emergency aortocoronary bypass for impending infarction.紧急主动脉冠状动脉搭桥术治疗濒死性心肌梗死。
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引用本文的文献

1
Unstable angina pectoris. Factors influencing operative risk.不稳定型心绞痛。影响手术风险的因素。
Ann Surg. 1980 Jun;191(6):745-50. doi: 10.1097/00000658-198006000-00013.
2
Myocardial protection by a left ventricular assist device during reperfusion following acute coronary occlusion.
Jpn J Surg. 1989 Sep;19(5):563-9. doi: 10.1007/BF02471664.
3
The measurement and control of myocardial infarct size.心肌梗死面积的测量与控制
Intensive Care Med. 1978 Jan;4(1):21-7. doi: 10.1007/BF01683132.

本文引用的文献

1
Angina pectoris. I. A variant form of angina pectoris; preliminary report.心绞痛。一、心绞痛的一种变异形式;初步报告。
Am J Med. 1959 Sep;27:375-88. doi: 10.1016/0002-9343(59)90003-8.
2
PREINFARCTION SYNDROME--MANAGEMENT AND FOLLOW-UP.梗死前综合征——管理与随访
Am J Cardiol. 1964 Jul;14:55-63. doi: 10.1016/0002-9149(64)90106-7.
3
Preinfarction angina. II. An interpretation.梗死前心绞痛。II. 一种解读。
Mod Concepts Cardiovasc Dis. 1962 Nov;31:757-61.
4
Acute and subacute coronary insufficiency.急性和亚急性冠状动脉供血不足。
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Prodromatan acute myocardial infarction.前驱性急性心肌梗死
Circulation. 1969 Oct;40(4):463-71. doi: 10.1161/01.cir.40.4.463.
6
Variant angina pectoris. Anatomic findings and prognostic implications.变异型心绞痛。解剖学发现及预后意义。
Ann Intern Med. 1971 Sep;75(3):339-43. doi: 10.7326/0003-4819-75-3-339.
7
Emergency aortocoronary bypass for acute myocardial infarction.
Arch Surg. 1971 Nov;103(5):525-8. doi: 10.1001/archsurg.1971.01350110023002.
8
Acute coronary insufficiency (impending myocardial infarction and myocardial infarction): surgical treatment by the saphenous vein graft technique.
Am J Cardiol. 1971 Nov;28(5):598-607. doi: 10.1016/0002-9149(71)90104-4.
9
"Preinfarctional" angina. A need for an objective definition and for a controlled clinical trial of its management.梗死前心绞痛。需要对其进行客观定义并开展关于其治疗的对照临床试验。
Circulation. 1971 Nov;44(5):755-8. doi: 10.1161/01.cir.44.5.755.
10
Myocardial revascularization during acute phase of myocardial infarction.心肌梗死急性期的心肌血运重建
JAMA. 1971 Oct 11;218(2):207-12.