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急性静息性心绞痛的冠状动脉搭桥术。10年随访。

Coronary bypass for acute rest angina. 10 year follow-up.

作者信息

Rogers W R, Wysham D N

出版信息

Br Heart J. 1982 Apr;47(4):365-8. doi: 10.1136/hrt.47.4.365.

Abstract

We followed up for 6.5 to 10.3 years 100 consecutive patients who had had coronary bypasses (1.8 per person) for acute angina at rest. There was a mean of 2.1 coronary stenoses per person. Mortality rates were 1.4% per postoperative year, or 2.2 times that of normal subjects of the same age. Angina was usually satisfactorily relieved but severe recurrences, mainly from late graft closure, required reoperation in 20 patients. Life style has been preserved; and 91 resumed work, with 52 at an average age of 61 years continuing to work eight years later. Better results that these may be obtained from the improved diagnostic and therapeutic methods of the 1980's.

摘要

我们对100例因静息性急性心绞痛接受冠状动脉搭桥术(人均1.8次)的患者进行了6.5至10.3年的随访。人均冠状动脉狭窄数为2.1处。术后每年的死亡率为1.4%,是同龄正常受试者的2.2倍。心绞痛通常得到了满意缓解,但主要由于晚期移植物闭塞导致的严重复发使20例患者需要再次手术。生活方式得以维持;91例患者恢复了工作,其中52例平均年龄61岁的患者在八年后仍继续工作。采用20世纪80年代改进的诊断和治疗方法可能会取得比这些更好的结果。

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