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来自一家地区综合医院的接受冠状动脉搭桥手术患者的十年随访

Ten year follow up of patients referred for coronary artery bypass grafting from a single district general hospital.

作者信息

Bathgate A J, Irving J B

机构信息

Department of Cardiology, St John's Hospital, Livingston, West Lothian, UK.

出版信息

Heart. 1997 Dec;78(6):584-6. doi: 10.1136/hrt.78.6.584.

DOI:10.1136/hrt.78.6.584
PMID:9470876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1892345/
Abstract

OBJECTIVE

To determine the status of patients 10 years after referral for coronary artery bypass graft (CABG) surgery.

DESIGN

Retrospective analysis of case notes from all patients referred between 1 April 1981 and 31 March 1985. Full information gathered from hospital notes, GP records, and Registrar General for Scotland.

SETTING

District General Hospital, West Lothian, Scotland.

PATIENTS

102 patients referred for CABG during study period. Cardiac surgery was undertaken in Brompton Hospital, London, Royal Infirmary, Edinburgh, and Western Infirmary, Glasgow.

RESULTS

At 10 years after operation 32 patients had died (27 cardiac, five non-cardiac causes). Full data were not available for five patients. Of the 65 remaining patients 24 had no angina, 13 had had a repeat procedure (CABG or angioplasty), and 28 had angina.

CONCLUSIONS

Long term benefits of CABG surgery is disappointing. Further steps are required to reduce progression of disease in this population.

摘要

目的

确定冠状动脉旁路移植术(CABG)手术后10年患者的状况。

设计

对1981年4月1日至1985年3月31日期间转诊的所有患者的病例记录进行回顾性分析。从医院病历、全科医生记录和苏格兰总登记官处收集完整信息。

地点

苏格兰西洛锡安地区综合医院。

患者

研究期间转诊接受CABG的102例患者。心脏手术在伦敦的布朗普顿医院、爱丁堡皇家医院和格拉斯哥西部医院进行。

结果

术后10年,32例患者死亡(27例死于心脏原因,5例死于非心脏原因)。5例患者没有完整数据。其余65例患者中,24例无心绞痛,13例接受了再次手术(CABG或血管成形术),28例有心绞痛。

结论

CABG手术的长期益处令人失望。需要采取进一步措施来减少该人群中疾病的进展。

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本文引用的文献

1
Coronary artery surgery: are women discriminated against?冠状动脉手术:女性是否受到歧视?
BMJ. 1993 May 1;306(6886):1164-6. doi: 10.1136/bmj.306.6886.1164.
2
Five-year angiographic follow-up of factors associated with progression of coronary artery disease in the Coronary Artery Surgery Study (CASS). CASS Participating Investigators and Staff.冠状动脉外科研究(CASS)中与冠状动脉疾病进展相关因素的五年血管造影随访。CASS参与研究人员及工作人员。
J Am Coll Cardiol. 1993 Oct;22(4):1141-54. doi: 10.1016/0735-1097(93)90429-5.
3
Frequency of repeat coronary bypass or coronary angioplasty after coronary artery bypass surgery using saphenous venous grafts.使用大隐静脉移植物进行冠状动脉搭桥手术后重复冠状动脉搭桥或冠状动脉血管成形术的频率。
Am J Cardiol. 1994 Jan 15;73(2):103-12. doi: 10.1016/0002-9149(94)90198-8.
4
Coronary artery bypass grafting in Alberta from 1984 to 1989.1984年至1989年艾伯塔省的冠状动脉搭桥手术。
Can J Cardiol. 1993 Sep;9(7):621-4.
5
Effect of advancing age on cost and outcome of coronary artery bypass grafting.年龄增长对冠状动脉旁路移植术成本及预后的影响。
Ann Thorac Surg. 1994 Nov;58(5):1362-6; discussion 1366-7. doi: 10.1016/0003-4975(94)91914-3.
6
Coronary risk factors 6-12 months after coronary artery bypass grafting. Comparison of surveys in 1986, 1990 and 1994.冠状动脉搭桥术后6至12个月的冠心病危险因素。1986年、1990年和1994年调查结果比较。
Med J Aust. 1994 Nov 7;161(9):536-7.
7
Effect of coronary artery bypass graft surgery on survival: overview of 10-year results from randomised trials by the Coronary Artery Bypass Graft Surgery Trialists Collaboration.冠状动脉搭桥手术对生存率的影响:冠状动脉搭桥手术试验协作组随机试验10年结果概述
Lancet. 1994 Aug 27;344(8922):563-70. doi: 10.1016/s0140-6736(94)91963-1.
8
Multivariate analysis of operative mortality and late outcome after coronary bypass surgery.冠状动脉搭桥手术后手术死亡率和远期预后的多因素分析
J Cardiovasc Surg (Torino). 1990 Mar-Apr;31(2):220-4.
9
[Coronary surgery in patients aged 70 years and older. 65 cases].[70岁及以上患者的冠状动脉手术。65例]
Presse Med. 1991 Sep 28;20(30):1429-33.