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心脏病人接受整形手术的选择与护理。

Selection and care of cardiac patients for plastic surgery.

作者信息

Barrett B M, Cooley D A

出版信息

Plast Reconstr Surg. 1982 May;69(5):845-51. doi: 10.1097/00006534-198205000-00022.

DOI:10.1097/00006534-198205000-00022
PMID:6978495
Abstract

A major operation after successful coronary artery bypass surgery has been proved as safe as an operation for a patient free from coronary artery disease. Most patients with angina who demonstrate an operable coronary lesion should usually be scheduled for coronary artery bypass before undergoing nonemergency surgery. It is advisable to postpone elective plastic surgery for 6 weeks to 3 months after coronary bypass and 6 months after myocardial infarction. The life expectancy of cardiac patients must be carefully considered before elective plastic surgery, because performing an operation on a patient who cannot live to enjoy the benefits is unwise. Working together, cardiac surgeons, cardiologists, and plastic surgeons can now prolong the quantity of life and enrich its quality in properly selected and carefully managed patients.

摘要

冠状动脉搭桥手术成功后的大手术已被证明与给无冠状动脉疾病患者进行的手术一样安全。大多数有可手术治疗的冠状动脉病变的心绞痛患者,通常应在接受非急诊手术前安排进行冠状动脉搭桥手术。建议在冠状动脉搭桥术后6周-3个月以及心肌梗死后6个月推迟择期整形手术。在进行择期整形手术前,必须仔细考虑心脏病患者的预期寿命,因为对无法存活以享受手术益处的患者进行手术是不明智的。心脏外科医生、心脏病专家和整形外科医生共同协作,现在可以延长经过适当选择和精心管理的患者的生命长度并提高其生活质量。

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