Rutkow I M
J Thorac Cardiovasc Surg. 1986 Aug;92(2):181-5.
Using data from the National Center for Health Statistics, I conducted an in-depth analysis of numbers of thoracic and cardiovascular operations from 1979 to 1984. This is the first full 5 year period since the inception of International Classification of Diseases, Ninth Revision, Clinical Modification codes, and the findings delineate the present status of thoracic and cardiovascular surgery in the United States. During the study period there was a 34% increase in total numbers of thoracic and cardiovascular operations. Since 1970 there has been a total increase in numbers of thoracic and cardiovascular operations of 150%. In 1983 thoracic and cardiovascular surgeons performed 191,000 coronary artery bypasses. This operation is the most common thoracic and cardiovascular procedure and has become the nineteenth most common operation now performed in this country. Pacemaker placement, revision, or removal (190,000) is the second most common thoracic and cardiovascular operation and the country's twentieth. The twenty most common thoracic and cardiovascular operations constitute 87% of all thoracic and cardiovascular operations. In 1983 thoracic and cardiovascular operations represented 3% of all operations completed in this country. These figures represent the dynamics of thoracic and cardiovascular surgical practice. They demonstrate that numbers of thoracic and cardiovascular operations have consistently increased over the past 15 years. However, this increase is almost entirely due to the advent of coronary artery bypass.
利用美国国家卫生统计中心的数据，我对1979年至1984年期间胸心血管手术的数量进行了深入分析。这是自《国际疾病分类，第九次修订本，临床修订版》编码启用以来的首个完整的5年时间段，研究结果描绘了美国胸心血管外科的现状。在研究期间，胸心血管手术的总数增加了34%。自1970年以来，胸心血管手术的总数增长了150%。1983年，胸心血管外科医生进行了191,000例冠状动脉搭桥手术。该手术是最常见的胸心血管手术，现已成为美国第十九常见的手术。起搏器植入、修复或移除手术（190,000例）是第二常见的胸心血管手术，也是美国第二十常见的手术。最常见的20种胸心血管手术占所有胸心血管手术的87%。1983年，胸心血管手术占美国所有完成手术的3%。这些数据代表了胸心血管外科手术实践的动态变化。它们表明，在过去15年里，胸心血管手术的数量一直在持续增加。然而，这种增长几乎完全是由于冠状动脉搭桥手术的出现。
