摘要 目的 探讨老年患者开胸手术前应用潘生丁(双嘧达莫)试验(DP-T)的临床意义。方法 采用国内外通用的DP-T方法对100例选择性开胸手术前的老年患者进行检查，于入院后1周内完成。 结果 100例中有68例出现DP-T的变化，这些患者术中出现心脏并发症57例(83.8%)；DP-T无变化32例，出现心脏并发症11例(34.4%)，两者差异有显著性(P<0.01)。结论 老年患者开胸手术前DP-T能发现潜在性心肌缺血病变，可作为术前常规检查手段之一。

The clinical significance of dipyridamole test in elderly intrathoracic surgery Yao Guanghui, LinHongxia, Zhang Yuyin, et al. Sanming first Hospital, Fujiang 365000

Abstract Objective To study theclinical significance of dipyridamole test (DP-T)inelderly intrathoracic surgery. Methods One hunderdelderly patients undergone intrathoracic surgery were tested by conventional method of DP-T preoperationly.The test was done within one week of admission. Results Sixty-eight of one hundred cases showed changes of DP-T and 57 (83.8%) of them had heart complications during surgery; thirty-two of one hundred casesdid not show changes of DP-T and 11 cases (34.4%) had heart complications

    during surgery . The difference between them was significant (P< 0.01). Conclusions DP-T may predict the concealed myocardial ischemiaand may be taken as one of the conventional examinations before operation in elderly intrathoracic surgery.

Key Words Coronary disease Intrathoracic surgery Dipyridamole Electrocardiography

开胸手术常会抑制呼吸和心肌功能 ......