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冠状动脉旁路移植术患者围手术期心肌梗塞
引用本文:胡盛寿,郭加强,朱晓东,胡宝琏,王巍,陆宗良. 冠状动脉旁路移植术患者围手术期心肌梗塞[J]. 中国循环杂志, 1992, 0(2)
作者姓名:胡盛寿  郭加强  朱晓东  胡宝琏  王巍  陆宗良
作者单位:中国医学科学院阜外医院心外科(胡盛寿,郭加强,朱晓东,胡宝琏,王巍),中国医学科学院阜外医院内科冠心病研究室(陆宗良)
摘    要:本文通过106例冠状动脉旁路移植术患者中24例并发围术期心肌梗塞者的临床资料分析,对围术期心肌梗塞的诊断、有关临床因素及预后提出讨论。

关 键 词:冠状动脉旁路移植术  心肌梗塞  围手术期

PERIOPERATIVE MYOCARDIAL INFARCTION IN CORONARY ARTERY BYPASS GRAFT (CABG)
Hu Shengshou,Guo Jiaqiang,Zhu Xiaodong,et al.. PERIOPERATIVE MYOCARDIAL INFARCTION IN CORONARY ARTERY BYPASS GRAFT (CABG)[J]. Chinese Circulation Journal, 1992, 0(2)
Authors:Hu Shengshou  Guo Jiaqiang  Zhu Xiaodong  et al.
Affiliation:Hu Shengshou,Guo Jiaqiang,Zhu Xiaodong,et al. Fu Wai Hospital,CAMS,Beijing
Abstract:Clinical data of 106 patients with isolated CABG were reviewed, 24 (22.6%) cases were defined as having perioperative myocardial infarction (PMI)by (1) typical ST-segment and Twave changes associated with positive serum MBCK postoperatively,(2) appearance of new Q-waves or increased amplitude of pre-exsisting Q-wave,(3) new myocardial necrosis found by radionuclide scanning. The severity of coronary artery lesions, cardiopulmonary bypass time, aortic cross clamping time and incomplete revascularization are major factors influencing the occurrence of PMI. There were five hospital deaths and one late death. 19 survivors were followed up for 3/12 to 7 10/12 years with a mean of 2 9/12 years. 16cases were in good condition.
Keywords:Coronary artery bypass graft  Perioperative myocardial infarction
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