Kudriashev V E, Anikina N V, Dobrovol'skaia T N, Gromova G V, Tkachenko V M
Vestn Khir Im I I Grek. 1992 May;148(5):158-63.
A complex of examinations (ECG, echocardiographic and X-ray evaluations of heart volumes and cavities, treadmill-test) was performed in 82 patients before and after reoperations on the mitral valve. The type of recorrection was found to be associated with the degree of positive dynamics of the results. The data obtained contradicted to hyperdiagnoses of primary medical-labor examination commission establishing the II group of invalidism in 86 +/- 4% (M +/- m) of the examined patients. As a result of an analysis of all the data obtained the number of such patients was reduced up to 34 +/- 5%. A new approach to solving the problem of medical-labor examination was shown to be necessary for patients reoperated for mitral disease of the heart.
对82例二尖瓣再次手术患者在术前和术后进行了一系列检查（心电图、心脏容积和腔室的超声心动图及X线评估、平板运动试验）。发现再次矫正的类型与结果的积极动态程度相关。所获得的数据与初级医疗劳动鉴定委员会对86±4%（均值±标准差）受检患者作出的二级病残诊断的过度诊断相矛盾。通过对所有获得的数据进行分析，此类患者的数量减少至34±5%。结果表明，对于因心脏二尖瓣疾病接受再次手术的患者，需要一种新的方法来解决医疗劳动鉴定问题。
