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成人主动脉峡部缩窄

[Coarctation of the aortic isthmus in the adult].

作者信息

Rubay J E, Jaumin P, Goenen M, Kestens-Servaye Y, Baele P, Dautrebande J, Vliers A, Ponlot R, Chalant C H

出版信息

Acta Chir Belg. 1985 Mar-Apr;85(2):95-8.

PMID:4013586
Abstract

Forty four patients over the age of eighteen operated upon for coarctation of the aorta from 1962 to 1983 at our institution were followed for one to 21 years (mean 13 years 3 months). Hypertension was found in 86% of the patients and 82% were preoperatively symptomatic. There were three late deaths. During the follow-up period, drug resistant hypertension persists in 31% of the patients at rest and/or exertion and 18% have functional symptoms. These data emphasize the importance of early diagnosis and treatment for patients with coarctation of the aorta.

摘要

1962年至1983年期间,我院对44例年龄超过18岁的主动脉缩窄患者进行了手术,并对其进行了1至21年的随访(平均13年3个月)。86%的患者发现有高血压,82%的患者术前有症状。有3例晚期死亡。在随访期间,31%的患者在静息和/或运动时存在耐药性高血压,18%的患者有功能症状。这些数据强调了主动脉缩窄患者早期诊断和治疗的重要性。

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