Heintzen M P, Höffner T, Jakobs D, Preusse C J, Schulte H D, Motz W, Strauer B E
Medizinische und Chirurgische Klinik B, Heinrich-Heine-Universität Düsseldorf.
Z Kardiol. 1994 Nov;83(11):795-803.
We analyzed the changing use of coronary artery bypass grafting in our institution during the years from 1985 to 1992. All clinical parameters indicating an increased perioperative risk for the surgical intervention increased during the study period (increased percentage of old patients, females, patients with severe coronary artery disease (high modified Gensini-index or triple-vessel disease), and left main stenoses). During a 2-year follow-up there was a constant proportion of patients with a good postoperative clinical result; perioperative mortality as well as global and cardiac 2-year mortality showed no significant changes. Despite an increased proportion of patients with higher perioperative risk the acute and long-term results of coronary artery bypass surgery in our study were quite satisfactory. This must be attributed to improvements in operative techniques, improved personal skills of the surgeons, and improvements in perioperative treatment and critical care.
我们分析了1985年至1992年间我院冠状动脉旁路移植术的使用变化情况。在研究期间，所有表明手术干预围手术期风险增加的临床参数均有所增加（老年患者、女性患者、患有严重冠状动脉疾病（高改良Gensini指数或三支血管病变）以及左主干狭窄的患者比例增加）。在为期2年的随访中，术后临床效果良好的患者比例保持不变；围手术期死亡率以及总体和心脏2年死亡率均无显著变化。尽管围手术期风险较高的患者比例有所增加，但我们研究中冠状动脉旁路手术的急性和长期结果相当令人满意。这必须归因于手术技术的改进、外科医生个人技能的提高以及围手术期治疗和重症监护的改善。
