70岁以上心脏病患者手术治疗体会

目的 总结70岁以上心脏病患者的手术治疗体会。方法 自1995年5月至2000年7月进行70岁以上高龄患者心脏手术23例，单纯冠状动脉搭桥术13例，单纯瓣膜手术5例，瓣膜手术同时冠状动脉搭桥术3例，心包剥脱同期冠状动脉桥术1例，左房粘液瘤摘除术1例。结果 术后出现并发症5例（21．7％），死亡1例（4．3％），无围手术期心肌梗塞、高血压危象和酮症酸中毒等。存活22例随访1个月－5年，心功能和生活质量明显改善。结论 高龄心脏病应及时就诊，一旦有手术适应证应及早外科治疗，临床效果满意，积极的围术期管理是手术成功的关键。

Cardiac operations in patients aged 70 years and over

Objective To summarize the surgical treatment of heart disease in patients aged 70 years and over. Methods From May 1995 to July 2000, 23 patients aged 70 years and over underwent cardiac operation at our department. Thirteen cases underwent isolated coronary bypass grafting, 5 had isolated valve operations , 3 had combined valve operation and coronary bypass grafting, 1 had excision of left atrial myxomas, 1 had combined pericardiectomy and coronary bypass grafting .Results Postoperative complications occurred in 5 cases (21.7%). The hospital mortality rate was 4.3% (1 case) . All of the 22 cases survived showed improvements in cardiac function and quality of life during a follow up of 1 month to 5 years.Conclusions Cardiac operations can be performed in patient saged 70 yeas and over with a satisfactory outcome,earlier referral and intervention is mandatory to improve results in this patients.