开胸术后心绞痛

Angina pectoris after thoracotomy

目的观察开胸术后心绞痛的临床特征。方法对8例男性开胸术患者采用回顾性分析方法，观察到术后2～72h不同时间心绞痛发作。结果8例中5例发展为不同程度的心肌梗死，死亡1例。结论开胸术后心绞痛危险而又极易混淆于术后胸部创伤痛。临床医生的警惕性、认识水平和早期救治极为重要。

Objective To summarize the clinical features of angina pectoris after thoracotomy. Methods Eight males with a mean age of 60± 5. 4 years were reported and analyzed, of which four patients underwent esphagectomy, three patients esophagogastrectomy and 1 patient pneumonectomy. Results Three cases were attacked angina pectoris after surgery 2~4 h, three cases in 5~12 h, one case in 36 h, and one case in 72h. Acute mocardial infarction of different degrees happened in five cases, and one case died. Conclusion Angina pectorls after thoracotomy is very dangerous to the patlents and not easily distinguished from chest pain after thoracotomy. It's important for the surgeons to analysis comprensively , diagnose as early as posslble and treat immediately.