老年人开胸手术前潘生丁试验检查的临床意义  

The clinical significance of dipyridamole test in elderly intrathoracic surgery

作　　者：姚光辉[1] 林鸿侠[1] 张毓英[1] 朱美仙[1] 贾平[1] 

机构地区：[1]三明市第一医院心内科

出　　处：《中华老年医学杂志》1998年第1期15-16,共2页Chinese Journal of Geriatrics

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。Objective To study the clinical significance of dipyridamole test (DPT) in elderly intrathoracic surgery. Methods One hunderd elderly 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 cases did not show changes of DPT and 11 cases (344%) had heart complications during surgery . The difference between them was significant (P<001). Conclusions DPT may predict the concealed myocardial ischemia and may be taken as one of the conventional examinations before operation in elderly intrathoracic surgery.

关 键 词：冠心病 诊断 老年人 胸外科手术 术前检查 

分 类 号：R655.05[医药卫生—外科学] R541.4[医药卫生—临床医学]