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心脏移植术后手术成功与术前状态的关系

[Surgical success following heart transplantation in relation to preoperative status].

作者信息

Bunzel B, Grundböck A, Laczkovics A, Holzinger C

机构信息

II. Chirurgische Universitätsklinik, Wien.

出版信息

Wien Klin Wochenschr. 1990 Jun 22;102(13):375-8.

PMID:2382445
Abstract

Patients waiting for heart transplantation have in common the acute threat of death with a maximal survival time of one year, but they differ in quality of life within the waiting period for a donor organ. The spectrum of life quality ranges from being able to work up to the day of transplantation to virtual immobility in an intensive care unit, controlled by machines right up to operation. Using the Quality of Life Index (Spitzer) and surgical assessment on a 3-tier scale following rehabilitation as measurements, a random study on 31 patients was conducted to determine whether a significant connection exists between preoperative quality of life and the result of operation. The statistical evaluation (Kendall's Tau-B = 0.7; p = 0.33) did not show any connection at all... Good preoperative quality of life cannot, therefore, be taken as indicator of surgical success in heart transplantation.

摘要

等待心脏移植的患者都面临着死亡的紧迫威胁,最长存活时间为一年,但他们在等待供体器官期间的生活质量存在差异。生活质量的范围从移植当天仍能工作到在重症监护病房几乎无法行动,直到手术前都由机器控制。以生活质量指数(斯皮策)和康复后三级手术评估为衡量标准,对31名患者进行了一项随机研究,以确定术前生活质量与手术结果之间是否存在显著关联。统计评估(肯德尔 Tau - B = 0.7;p = 0.33)根本没有显示出任何关联……因此,术前良好的生活质量不能被视为心脏移植手术成功的指标。

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1
[Surgical success following heart transplantation in relation to preoperative status].心脏移植术后手术成功与术前状态的关系
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2
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