52例冠状动脉搭桥术临床随访分析  

Analysis of 52 cases coronary artery bypass grafting: Clinical follow-up

作　　者：冯秀华[1] 冯建章[1] 张海瑞 宋伟 阮新民 罗征祥[1] 

机构地区：[1]广东省人民医院,广州市510100 [2]广东省镜湖医院,广州市510100

出　　处：《岭南心血管病杂志》2000年第3期160-162,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的 评价冠状动脉搭桥术对冠心病人近期及远期预后的影响。方法 本院１９９４年５月～１９９８年５月期间行搭桥术１年以上的所有病人进行门诊及电话随访，了解其近期及远期临床症状、心功能状况及心性事件的发生串、存活率的变化，随访以死亡作为终点或截止至１９９９年５月底。随访率达１００％。随访时间１～５年，平均２．４年。结果５２例患者全部顺利完成手术，术后早期并发症包括心包填塞并低排综合征２例，呼吸功能不全４例，伤口感染５例，围手术期心肌梗死１例，心律失常１０例，仅１例患者于术后８３天死于鱼精蛋白过敏致多器官功能衰竭。术后早期并发症的发生在０岁以上病人较６０岁以下病人多见，两组差异有显著性。术后病人早期心绞痛改善达１００％，以后仅９．８％有残余心绞痛。大部分病人心功能状态较术前改善。术后１年生存率为９６．１６％，３～５年生存率均为９１．７９％。结论 冠状动脉搭桥术不仅能改善病人的症状、心功能状态，而且有利于提高病人的生存率。Objective This paper was to assess the short term and long term clinical results of coronary artery bypass grafting. Methods All consecutive patients undergoing coronary artery bypass grafting (CABG) between 1994 and 1998 were followed for 1 to 5-year. Clinical evaluation included survival rate, cardiac event and recurrence of angina. Results Most of patients were angina free, only 9.8% of patients have angina after operation. The survival rate in 1 year after CABG was 96.16% and in 3 to 5 years all were 91.76%.Condusion CABG not only relieved angina pectories, improved cardiac function, but also improved the survival rates.

关 键 词：冠状动脉搭桥术 术后 随访 生存率 

分 类 号：R654.2[医药卫生—外科学]