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[血管疾病患者的术前心血管评估]

[Preoperative cardiovascular assessment of patients with vascular diseases].

作者信息

Duff C A, Maissen T, Roggo A, Brunner U

机构信息

Departement Chirurgie, Abteilung für periphere Gefässchirurgie, Universitätsspital Zürich.

出版信息

Vasa. 1992;21(4):374-81.

PMID:1485472
Abstract

Pathologic cardiovascular symptoms and signs were assessed preoperatively in 72 consecutive patients scheduled for vascular surgery. All postoperative cardiovascular complications were monitored and statistical relation to the preoperative pathology was tested using the X2-method. The following preoperative cardiovascular symptoms are associated with a significant incidence of postoperative complications: Angina pectoris (p < 0.05); congestive heart failure (p < 0.025); ventricular and/or supraventricular arrhythmias (p < 0.01); pathologic ECG (p < 0.01); ejection fraction < 50% in echocardiography (p < 0.05); myocardial hypokinesias in echocardiography (p < 0.025). The use of preoperative echocardiography as a reliable and accurate method is emphasized.

摘要

对连续72例计划进行血管手术的患者在术前评估其病理性心血管症状和体征。监测所有术后心血管并发症,并使用X2检验法检测其与术前病理情况的统计学关系。以下术前心血管症状与术后并发症的高发生率相关:心绞痛(p < 0.05);充血性心力衰竭(p < 0.025);室性和/或室上性心律失常(p < 0.01);病理性心电图(p < 0.01);超声心动图显示射血分数< 50%(p < 0.05);超声心动图显示心肌运动减退(p < 0.025)。强调了将术前超声心动图作为一种可靠且准确方法的应用。

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