von der Emde J, Hacker R, Rein J, Weniger J
Fortschr Med. 1982 Aug 26;100(31-32):1427-30, 1448.
Coronary artery bypass surgery is the method of choice in treating coronary heart disease. A hospital mortality of about 1% is followed by nearly full life-expectancy and quality. Early diagnosis and division in groups, either for medical or surgical treatment, and early reconstruction before irreversible damage of myocardium would save many coronary patients from early retirement. 87.8% our patients felt symptomatically better, 66.1% were without symptoms. Five years after bypass surgery 93.6% of patients survived, but only 52.1% of patients with similar extend of disease survived after medical treatment. Only 45% of patients returned to work after the operation, though 53% of these had no complaints - indicating that coronary heart disease is also a sociopolitical problem.
冠状动脉搭桥手术是治疗冠心病的首选方法。术后医院死亡率约为1%，之后患者的预期寿命和生活质量几乎能完全恢复。早期诊断并分组（无论是药物治疗还是手术治疗），以及在心肌发生不可逆损伤之前尽早进行重建，将使许多冠心病患者避免过早退休。我们的患者中有87.8%症状明显改善，66.1%无症状。搭桥手术后五年，93.6%的患者存活，而患有类似疾病程度的患者接受药物治疗后只有52.1%存活。术后只有45%的患者恢复工作，尽管其中53%没有不适——这表明冠心病也是一个社会政治问题。
