摘要
本文对新加坡中央医院1992．1～1996．12月期间的62名75岁或以上行冠状动脉搭桥手术的病人进行了回顾性的研究。本组病人的平均年龄为77±2（75～85）岁。男女比例相同。平均搭桥3．1支。使用乳内动脉18例。使用胃网膜右动脉1例。手术成功率95％（59／62）。平均随访时间为2年。84％无症状存活；3例（5％）出院后心绞痛需药物治疗；7例（11％）于随访期间死亡：其中5例与心脏病无关，2例死于心力衰竭。因此，在熟练掌握CABG手术、谨慎选择病人的情况下，老年人行冠脉搭桥手术是安全的，其合并症和死亡率是可以接受的。
Objective To observe its value for old patients to receive CABG operation. To understand operative risks and main complication and techniques in patients aged 75 and above who underwent CABG.Methods A retrospective review of 62 patients aged 75 and above who underwent CABG during January 1992 and December 1996. The median age was 76 (range from 75 to 85 ) with equal sex distributionl. The average number of grafts was 3. 1. The internal mammary artery was used in 18 (29%) patients. The gastroepiploic artery was used in 1 (1. 5% ) patient. Results The immediate post-operative complications encountered were: 2 (3%) re-openings for low CO, 1(1.5%) re-opening for bleeding, 2(3%) perioperative infarctions, 2 (3%) mediastinitis, 2 (3%) CVAs, 2(3%) bleeding GIT, 6(10%) leg wound infections and 10 (16%) arrthymias (mostly AF).There were 3 operative deaths (1.8%) for elective CABG. The remaining 2 patients received CABG's. The mean period of follow-up was 2 years. 3(4.8%) patients had recurrence of angina and 7 died during the follow-up period. Of these, 5 had non-car-diac related causes of death. The remaining 2 died of heart failure. Conclusion Coronary artery bypass can be performed with acceptable mortality and morbidity in a caredfully selected group of elderly patient.
出处
《中国介入心脏病学杂志》
1998年第2期61-63,共3页
Chinese Journal of Interventional Cardiology
关键词
冠心病
老年人
冠状动脉搭桥术
Coronary heart disease Aged Coronary artery bypass graftting
