Pachinger O
II. Internen Abteilung, Kardiologie, A.ö. Krankenhauses Wels.
Wien Med Wochenschr. 1990 Jun 15;140(10-11):271-2.
Follow-up of bypass patients in the early postoperative phase involves the management of complications such as perioperative myocardial infarction, postoperative arrhythmias, pericarditis, postcardiotomy-syndrome, fever, infection and chest pain. The longterm management has to focus on changes in lifestyle with particular regard to risk factors for coronary atherosclerosis. Diagnostic tools for work-up of postoperative chest pain include stress testing and radionuclide techniques; ultrafast computerized tomography is superior in the evaluation of bypass function to cine-NMR. Conventional angiography is still the only method to reliably visualize graft patency and anastomotic sites. Indications for reoperations can be well defined.
对搭桥手术患者术后早期的随访包括对并发症的处理，如围手术期心肌梗死、术后心律失常、心包炎、心脏切开术后综合征、发热、感染和胸痛。长期管理必须注重生活方式的改变，尤其是与冠状动脉粥样硬化危险因素相关的方面。用于评估术后胸痛的诊断工具包括负荷试验和放射性核素技术；在评估搭桥功能方面，超快速计算机断层扫描优于电影核磁共振成像。传统血管造影术仍然是可靠显示移植血管通畅情况和吻合部位的唯一方法。再次手术的指征可以明确界定。
