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70岁以上患者的颈动脉手术。

Carotid artery surgery in patients over 70 years of age.

作者信息

Benhamou A C, Kieffer E, Tricot J F, Maraval M, Lethoai H, Benhamou M, Boespflug O, Natali J

出版信息

Int Surg. 1981 Jul-Sep;66(3):199-202.

PMID:7319730
Abstract

Between 1965 and 1979, 934 patients underwent 1,057 operations for extracranial carotid stenosis at this institute, and over a recent 30-month period 463 patients underwent 511 operations of this type. This number is equal to the total of operations performed during the years 1965-1976. The increase in the frequency of carotid artery surgery has been more marked in patients of over 70 years. The percentage of elderly patients has increased from 17.5% to 27% in the recent period. In the latter group of 511 operations, results were good in 93.17% of cases, while there was a mortality rate of 1.95% (1% of which were directly related to the surgery), in 1.95% the neurologic condition deteriorated and in 3.13% there was no change. In the first period the mortality rate for patients over 70 years of age was 7.69%. In the second it was 3.27% (1.63% of which were due to non-neurologic causes), 4.09% deteriorated, in 2.18% there was no change and good results were obtained in 90.46%.

摘要

1965年至1979年间,该研究所934例患者接受了1057次颅外颈动脉狭窄手术,在最近30个月期间,463例患者接受了511次此类手术。这个数字等同于1965年至1976年期间进行的手术总数。70岁以上患者的颈动脉手术频率增加更为明显。近期老年患者的比例从17.5%增至27%。在后一组511例手术中,93.17%的病例结果良好,死亡率为1.95%(其中1%与手术直接相关),1.95%的患者神经状况恶化,3.13%的患者无变化。在第一阶段,70岁以上患者的死亡率为7.69%。在第二阶段,死亡率为3.27%(其中1.63%归因于非神经原因),4.09%的患者病情恶化,2.18%的患者无变化,90.46%的患者结果良好。

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1
Carotid artery surgery in patients over 70 years of age.70岁以上患者的颈动脉手术。
Int Surg. 1981 Jul-Sep;66(3):199-202.
2
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[Treatment of carotid artery arteriosclerosis 1966 to 1976. Early and late results (author's transl)].1966年至1976年颈动脉动脉硬化的治疗。早期和晚期结果(作者译)
Acta Chir Belg. 1979 Mar-Apr;78(2):103-13.
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Regional anesthesia in elderly patients undergoing carotid surgery: report of a case series.老年患者行颈动脉手术时的区域麻醉:病例系列报告
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引用本文的文献

1
[Carotid endarterectomy in the elderly patient. Life table analysis and review of the literature based on 594 consecutive operations].[老年患者的颈动脉内膜切除术。基于594例连续手术的寿命表分析及文献综述]
Langenbecks Arch Chir. 1993;378(5):297-303. doi: 10.1007/BF00183968.
2
Morbidity and mortality of carotid endarterectomy. A literature review of the results reported in the last 10 years.颈动脉内膜切除术的发病率和死亡率。过去10年报告结果的文献综述。
Acta Neurochir (Wien). 1987;84(1-2):3-12. doi: 10.1007/BF01456344.