颈动脉内膜切除术：一家社区医院276例病例回顾
Carotid endarterectomy: review of 276 cases in a community hospital.
作者信息
Haynes C D, Dempsey R L
出版信息
Ann Surg. 1979 Jun;189(6):758-62. doi: 10.1097/00000658-197906000-00012.
Abstract
Two hundred seventy-six carotid endarterectomies performed on 232 patients in a community hospital were reviewed. All the surgery was performed in a routine manner utilizing systemic heparinization and an indwelling shunt. There were three deaths in this series, giving a mortality of 1.08%. A transient neurological deficit occurred in seven patients. All of these cleared within a 7-day period; this represents 2.5%. Only one patient had a permanent deficit. Long-term followup from 6 months to 9 years showed that the majority of deaths occurred from myocardial disease and malignancies. Only eight patients later died from stroke.
摘要
对一家社区医院232例患者进行的276例颈动脉内膜切除术进行了回顾。所有手术均采用全身肝素化和留置分流管的常规方式进行。该系列中有3例死亡，死亡率为1.08%。7例患者出现短暂性神经功能缺损。所有这些均在7天内恢复；这占2.5%。只有1例患者有永久性缺损。6个月至9年的长期随访表明，大多数死亡是由心肌疾病和恶性肿瘤引起的。只有8例患者后来死于中风。
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