Powney J G, Bonser R S, Lentini S
Department of Surgery, London Chest Hospital.
Br Heart J. 1992 May;67(5):392-4. doi: 10.1136/hrt.67.5.392.
To determine the incidence and outcome of refractory cardiac arrest necessitating emergency coronary artery bypass grafting.
Retrospective survey of cardiac catheterisation and surgical records.
The London Chest Hospital.
All patients requiring emergency coronary artery bypass grafting after cardiovascular collapse in the catheterisation suite between January 1984 and December 1989.
Incidence of refractory cardiac arrest in the study group and perioperative mortality.
Thirteen of 8675 patients undergoing coronary arteriography or angioplasty had refractory cardiac arrests. Five patients died, but the remainder survived to be discharged from hospital without serious morbidity.
Without immediate surgical intervention the mortality for these 13 patients would have been 100%.
确定需要紧急冠状动脉搭桥术的难治性心脏骤停的发生率及转归。
对心导管检查及手术记录进行回顾性调查。
伦敦胸部医院。
1984年1月至1989年12月期间在导管室发生心血管衰竭后需要紧急冠状动脉搭桥术的所有患者。
研究组难治性心脏骤停的发生率及围手术期死亡率。
8675例接受冠状动脉造影或血管成形术的患者中有13例发生难治性心脏骤停。5例患者死亡，但其余患者存活并出院，无严重并发症。
若不立即进行手术干预，这13例患者的死亡率将达100%。
