45例老年人冠状动脉旁路移植术的分析

An analysis of coronary artery bypass grafting in 45 elderly patients

目的探讨老年人冠状动脉旁路移植术的可行性及手术适应证。方法回顾性总结４５例老年人、３１例非老年人冠状动脉旁路移植术的临床资料，作对照分析。结果老年组平均搭桥３．６±０．９根，心肌阻断时间９２．４±３８．３分钟，手术死亡率为２．２％，并发症发生率为３３．３％，住院时间为３０．３±１８．６天；与非老年组比较差异均无显著性。结论经过严格的手术适应证选择。

Objective To study the applicability and indication of coronary artery bypass grafting in elderly patients. Methods The clinical materials of 45 patients over 60 years old and 31 patients younger than 60 years who underwent coronary artery bypass grafting during 1994 1997 were reviewed and analysed including mortality, complication, duration of hospitalization. Results The surgical mortality for the elderly patients was 2 2% versus 3 2% for the non aged group. The incidence of complications in elderly was 33 3% versus 29 0% in non aged. The duration of hospitalization for elderly was 30 3±18 6 days, no significant difference with non aged group. Conclusions With strict selection of surgical indication coronary artery bypass grafting has an encouraging result in elderly patients with ischemic heart disease.