Hu Sheng-Shou
Key Laboratory of Cardiovascular Regenerative medicine, Department of Cardiovascular Surgery, Cardiovascular Institute and Fu Wai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China. Email:
Zhonghua Xin Xue Guan Bing Za Zhi. 2009 Mar;37(3):240-3.
Number of coronary artery bypass grafting (CABG) increased steadily during the past decade as a result of a higher incidence of coronary artery disease in China. However, little is known about the current status of CABG surgery in contemporary China. This study was to get exact information on CABG in China.
A national multicentre database of patients undergoing CABG with the name of the Chinese CABG Registry Study was established at Fuwai hospital, Beijing, China which is the biggest cardiac centre of China in 2006 and 32 centers of cardiac surgery all over China (mainland) participated in the study. Registry forms were used to collect related information of patients undergoing CABG in these centers for statistical analysis.
From January 2004 to December 2005, CABG was performed in 9247 consecutive patients with coronary artery disease. Mean age was (62.1 +/- 9.1) years and 21.5% patients were female, 76.7% patients had triple vessel disease, and 25.8% patients had left main disease. Overall in-hospital mortality was 3.3%. The in-hospital mortality of isolated CABG was 2.2%.
The in-hospital mortality and the incidences of major accidents of surgery were low in these patients underwent CABG. The operative risk evaluating system for the Chinese CABG patients should be established to improve the survival of CABG operation in China.
在过去十年中,由于中国冠心病发病率上升,冠状动脉旁路移植术(CABG)的数量稳步增加。然而,当代中国CABG手术的现状鲜为人知。本研究旨在获取中国CABG的确切信息。
2006年,在中国最大的心脏中心——北京阜外医院建立了一个名为中国CABG注册研究的全国多中心CABG患者数据库,中国大陆各地的32个心脏外科中心参与了该研究。使用注册表格收集这些中心接受CABG患者的相关信息进行统计分析。
2004年1月至2005年12月,连续9247例冠心病患者接受了CABG手术。平均年龄为(62.1±9.1)岁,21.5%为女性患者,76.7%患者患有三支血管病变,25.8%患者患有左主干病变。总体住院死亡率为3.3%。单纯CABG的住院死亡率为2.2%。
这些接受CABG手术的患者住院死亡率和手术重大事故发生率较低。应建立中国CABG患者的手术风险评估系统,以提高中国CABG手术的生存率。