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[缺血性心脏病患者主动脉冠状动脉分流术的远期结果与冠状动脉病变严重程度及心肌血运重建程度的关系]

[Late results of aortocoronary shunting in ischemic heart disease patients in relation to the severity of the coronary lesion and degree of myocardial revascularization].

作者信息

Martsinkiavichius A, Iablonskene D, Uzhdavinis G, Paliushchinskaia N, Ivashkiavichene L

出版信息

Kardiologiia. 1987 Jun;27(6):11-4.

PMID:3498079
Abstract

Long-term results of aortocoronary shunting are reviewed in 219 coronary patients with reference to the severity of coronary arterial damage and myocardial revascularization. Functional class of angina pectoris declined 2.5-fold postoperatively and was 1.6 +/- 0.14 at long-term follow-up. The success rate reached 74%. Survival rate was 87.3%, including hospital mortality, and long-term survival was 92.1%. Acute coronary insufficiency was the principal cause of compromised success and survival rates. The operation was particularly effective in patients with first- or second-degree total coronary arterial lesion and true complete myocardial revascularization.

摘要

回顾了219例冠心病患者主动脉冠状动脉分流术的长期结果,涉及冠状动脉损伤的严重程度和心肌血运重建情况。术后心绞痛功能分级下降了2.5倍,长期随访时为1.6±0.14。成功率达到74%。包括医院死亡率在内的生存率为87.3%,长期生存率为92.1%。急性冠状动脉供血不足是成功率和生存率受损的主要原因。该手术对一级或二级冠状动脉全病变且真正完全心肌血运重建的患者特别有效。

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