徐明 郭子黄 陈鑫 高岩 缪劲 蒋英硕 210006 南京医科大学附属南京第一医院心胸外科 中华老年医学杂志 1999 0 18 2


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


    

【摘要 】 目的 探讨老年人冠状动脉疾病外科治疗的疗效。 方法 35例老年患者接受了冠状动脉旁路移植术。按NYHA心功能分级，Ⅲ级17例，Ⅳ级18例。其中3支血管病变24例，左主干病变6例；左室射血分数小于50%者25例。 结果 人均移植血管3.1根，无手术死亡。术后所有患者心绞痛均消失，心功能恢复至Ⅰ级者33例，Ⅱ级2例。随访3～64个月，平均37个月，无死亡。 结论 对于老年冠状动脉疾病患者，冠状动脉旁路移植术是一种安全、有效的治疗方法。

Surgical treatment of coronaryartery disease in elderly patients

XU Ming, GUO Zihuang, CHEN Xin, et al.

    Department of Thoracic and Cardiovascular Surgery, Nanjing First Hospital, Nanjing MedicalUniversity, Nanjing 210006

【Abstract 】 Objective Tostudy the efficacy of surgical treatment on coronary artery disease in elderly patients.Methods Thirty-five elderly patients underwent coronary arterybypass grafting. The mean age was 65.4 years. Seventeen patients were in NYHA class Ⅲ,and18 were in class Ⅳ. There were 24 patients with 3 branch disease and 6 patients withleft main stem disease. Preoperative left ventricular ejection fraction in 25 patients wasbeyond 50%. Results The mean number of grafts was 3.1 per patient.There was no operative death. The patients were all free from angina postoperatively. Theheart function improved to class Ⅰ in 33 patients, class Ⅱ in 2 patients. The meanfollow up time was 37 (3-64) months without death. Conclusions Coronaryartery bypass grafting is a safe and effective method of treatment to elderly patientswith coronary artery disease.

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