冠状动脉手术与黏液性水肿
Coronary artery surgery and myxoedema.
作者信息
Kirk S J, O'Kane H O, Morton P
机构信息
Department of Cardiac Surgery, Royal Victoria Hospital, Belfast.
出版信息
Br Heart J. 1987 Dec;58(6):674-5. doi: 10.1136/hrt.58.6.674.
Abstract
A patient with a preoperative diagnosis of myxoedema had triple vessel coronary artery bypass surgery. The perioperative and postoperative course was essentially uneventful. The most appropriate management of a patient with coronary artery disease who has concomitant myxoedema is first to improve myocardial blood flow by relieving coronary obstruction and then to treat the thyroid deficiency.
摘要
一名术前诊断为黏液性水肿的患者接受了三支血管冠状动脉搭桥手术。围手术期和术后过程基本顺利。对于合并黏液性水肿的冠心病患者，最合适的处理方法是首先通过解除冠状动脉阻塞来改善心肌血流，然后治疗甲状腺功能减退。
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本文引用的文献
1
Diagnosis and management of the hypothyroid patient with chest pain.伴有胸痛的甲状腺功能减退患者的诊断与管理
J Thorac Cardiovasc Surg. 1983 Jul;86(1):57-60.
2
The successful treatment of myxedema and coronary artery disease in patients intolerant of thyroid hormone.
Med Arts Sci. 1974 Sep;28(3):15-22.
3
Coronary arterial surgery in patients with incapacitating angina pectoris and myxedema.患有重度心绞痛和黏液性水肿患者的冠状动脉手术
Am J Cardiol. 1977 Aug;40(2):226-31. doi: 10.1016/0002-9149(77)90012-1.
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