Aebert H, Brünger F, Sendtner E, Merk J, Kobuch R, Birnbaum D E
Klinik für Herz-, Thorax- und herznahe Gefässchirurgie, Universitätsklinikum Regensburg.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:1018-20.
A total of 164 patients with a mean age of 78.6 +/- 2.7 years and often critical preoperative conditions [New York Heart Association (NYHA) class III + IV, 78.7%] underwent cardiac operations [coronary artery bypass grafting (CABG) 97; valve replacement, 33; CABG + valve replacement, 18; replacement of ascending aorta and others, 18] with an in-hospital mortality of 8.5% (n = 14). Follow-up was completed for 147 patients (98%) after 16.5 +/- 10.8 months. Most patients were in a good clinical condition (NYHA I + II, 79.6%; late deaths, 8 patients, 5.4%) and more than 95% of patients lived at home or with relatives. Charges for hospital treatment dropped to one third after the hospitalization period for surgery in the first postoperative year compared to the year immediately preceding the cardiac operation.
共有164例患者，平均年龄78.6±2.7岁，术前病情往往危急[纽约心脏协会（NYHA）III + IV级，占78.7%]，接受了心脏手术[冠状动脉旁路移植术（CABG）97例；瓣膜置换术33例；CABG +瓣膜置换术18例；升主动脉置换术及其他手术18例]，住院死亡率为8.5%（n = 14）。147例患者（98%）在16.5±10.8个月后完成随访。大多数患者临床状况良好（NYHA I + II级，占79.6%；晚期死亡8例，占5.4%），超过95%的患者在家中或与亲属一起生活。与心脏手术前一年相比，术后第一年手术住院期后的住院治疗费用降至三分之一。
