冠状动脉血运重建术后的非心脏手术。
Noncardiac operations after coronary revascularization.
作者信息
Akl B F, Talbot W, Neal J F, Havens D
出版信息
West J Med. 1982 Feb;136(2):91-4.
Abstract
In 35 patients who had had earlier myocardial revascularization, a total of 44 noncardiac operations under general or spinal anesthesia were carried out. There was one cardiac death and three postoperative complications. Compared with the risk of general anesthesia and noncardiac surgical procedures in patients with coronary artery disease who have not had coronary revascularization, this is a major improvement. We conclude that myocardial revascularization provides significant protection against the risk of cardiac complications and death for patients with ischemic heart disease in whom general anesthesia and noncardiac procedures are needed.
摘要
在35例先前已进行心肌血运重建的患者中，共进行了44例在全身麻醉或脊髓麻醉下的非心脏手术。有1例心脏死亡和3例术后并发症。与未进行冠状动脉血运重建的冠心病患者接受全身麻醉和非心脏手术的风险相比，这是一个重大改善。我们得出结论，心肌血运重建为需要全身麻醉和进行非心脏手术的缺血性心脏病患者提供了针对心脏并发症和死亡风险的显著保护。
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