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致命性术后心肌梗死(作者译)

[Fatal postoperative myocardial infarction (author's transl)].

作者信息

Karadschow A

出版信息

Zentralbl Chir. 1978;103(20):137-10.

PMID:735515
Abstract

Between 1965 and 1975 43384 operations were performed (including general surgical, vascular and traumatological operations). 79 patients (0,18%) died postoperatively due to myocardial infraction (all confirmed by autopsy). 67 cases (27 women, 40 men) between 51 and 90 years of age were analysed. 63% of these patients died during the first postoperative week. Due to the difficult clinical diagnosis clinical and pathological cause of death was only identical in 35%. The immediate postoperative ECG-monitoring of risk patients and cooperation with experienced cardiologists are emphasized.

摘要

1965年至1975年间共进行了43384例手术(包括普通外科、血管和创伤外科手术)。79例患者(0.18%)术后因心肌梗死死亡(均经尸检证实)。对67例年龄在51至90岁之间的患者(27名女性,40名男性)进行了分析。这些患者中有63%在术后第一周内死亡。由于临床诊断困难,临床和病理死因仅在35%的病例中一致。强调对高危患者进行术后即时心电图监测以及与经验丰富的心脏病专家合作。

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