刘岩 肖锋 颜钧 张希涛 胡大一 100020 首都医科大学附属北京红十字朝阳医院心脏外科 中华老年医学杂志 1998 10 17 5


    关键词：冠状动脉分流术/并发症；冠状动脉疾病/外科学 期刊 zhlnyxzz 0 临床研究 fur -->


    

摘要 目的 探讨老年人冠状动脉旁路移植术的可行性及手术适应证。 方法 回顾性总结45例老年人、31例非老年人冠状动脉旁路移植术的临床资料，作对照分析。 结果 老年组平均搭桥3.6±0.9根，心肌阻断时间92.4±38.3分钟，手术死亡率为2.2%，并发症发生率为33.3%，住院时间为30.3±18.6天；与非老年组比较差异均无显著性。 结论 经过严格的手术适应证选择，老年人冠状动脉旁路移植术具有满意的临床效果。

An analysis ofcoronary artery bypass grafting in 45 elderly patients

Liu Yan, Xiao Feng, YanJun, et al. Beijing Red Cross Chaoyang Hospital, Capital University of Medical Sciences,Beijing 100020

Abstract Objective To study the applicability andindication of coronary artery bypass grafting in elderly patients. Methods The clinical materials of 45 patients over 60 years oldand 31 patients younger than 60 years who underwent coronary artery bypass grafting during1994-1997 were reviewed and analysed including mortality, complication, duration ofhospitalization. Results The surgical mortality for theelderly patients was 2.2% versus 3.2% for the non-aged group. The incidence ofcomplications in elderly was 33.3% versus 29.0% in non-aged. The duration ofhospitalization for elderly was 30.3±18.6 days, no significant difference with non-aged group. Conclusions With strict selection of surgicalindication coronary artery bypass grafting has an encouraging result in elderly patientswith ischemic heart disease.

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