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冠状动脉搭桥术患者的五年随访

Five-year follow-up of patients undergoing coronary artery bypass.

作者信息

Arnold M, Wathanacharoen S, Reed W A, Killen D A, Crockett J, King J T, McCallister B D, Bell H

出版信息

Ann Thorac Surg. 1979 Mar;27(3):225-9. doi: 10.1016/s0003-4975(10)63278-x.

DOI:10.1016/s0003-4975(10)63278-x
PMID:313191
Abstract

Two hundred eighty-two patients who underwent coronary artery bypass operation between January, 1971, and July, 1972, were followed until the time of death or for 5 years after operation. The angina-free status progressively decreased during the period of follow-up but at 5 years 57% of the survivors were free from angina. The total (early and late) incidence of nonfatal myocardial infarction was 3.3 per 100 patient years of follow-up. Nine (3.2%) of the patients had a repeat coronary artery bypass operation within the first 5 postoperative years. The overall 5-year survival was 86.9%. The expected 5-year survival of the general population, matched by sex and age, is 90.7%. Five-year survival was 97% for single-vessel disease, 87% for double-vessel disease, and 85% for triple-vessel disease.

摘要

1971年1月至1972年7月期间接受冠状动脉搭桥手术的282例患者,随访至死亡或术后5年。在随访期间,无心绞痛状态逐渐下降,但在5年时,57%的幸存者无心绞痛。非致命性心肌梗死的总(早期和晚期)发生率为每100患者年随访3.3例。9例(3.2%)患者在术后前5年内接受了再次冠状动脉搭桥手术。总体5年生存率为86.9%。按性别和年龄匹配的一般人群的预期5年生存率为90.7%。单支血管病变的5年生存率为97%,双支血管病变为87%,三支血管病变为85%。

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