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[2型糖尿病患者冠心病的外科治疗结果]

[Results of surgical treatment of coronary heart disease in patients with type II diabetes mellitus].

作者信息

Mashkova O V, Belov Iu V, Ametov A S, Kalina N V

出版信息

Khirurgiia (Mosk). 2004(6):34-5.

Abstract

One hundred and twenty-eight patients after aorto-coronary bypass were studied, 75 of them had coronary heart disease in combination with type II diabetes mellitus (study group), 53 - coronary heart disease only (control group). The patients with diabetes were transferred on insulin before surgery, this therapy was continued during 2 weeks after surgery. Number of myocardial infarctions, degree of coronary arteries lesion, rate of complications in early postoperative period were compared in both groups. There were no significant differences. It is concluded that type II diabetes is not contraindication to aorto-coronary bypass.

摘要

对128例接受主动脉冠状动脉搭桥术的患者进行了研究,其中75例患有冠心病合并II型糖尿病(研究组),53例仅患有冠心病(对照组)。糖尿病患者在手术前改用胰岛素治疗,术后2周继续该治疗。比较了两组的心肌梗死数量、冠状动脉病变程度、术后早期并发症发生率。两组之间无显著差异。得出结论,II型糖尿病不是主动脉冠状动脉搭桥术的禁忌症。

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