52例冠狀動脈搭橋術臨床隨訪分析

Analysis of 52 Cases Coronary Artery Bypass Grafting:Clinical Follow-up

目的:評價冠狀動脈搭橋術對冠心病人近期及遠期預後的影響。方法:本院1994年5月〜1998年5月期間行搭橋術1年以上的所有病人進行門診及電話隨訪,了解其近期及遠期臨床症狀、心功能狀況及心性事件的發生率、存活率的變化,隨訪以死亡作爲終點或截止至1999年5月底。隨訪率達100%。隨訪時間1-5年,平均2.4年。結果:52例患者全部順利完成手術,術後早期倂發症包括心包塡塞倂低排綜合症2例,呼吸功能不全4例,傷口感染5例,圍手術期心肌梗塞1例,心律失常10例,僅1例患者於術後83天死於魚精蛋白適敏致多器官功能衰竭。術後早期倂發症的發生在60歲以上病人較60歲以下病人多見,兩組差異有顯著性。術後病人早期心絞痛改善達100%,以後僅9.8%有殘餘心絞痛。大部份病人心功能狀態較前改善。術後1年生存率爲96.16%,3〜5年生存率均爲91.79%。結論:冠狀動脈搭橋術不僅能改善病人的症狀、心功能狀態,而且能提高病人的生存率。

Objective:This paper was to assess the shortterm and long-term clinical results of coronary artery bypass grafting.Methods:All consecutive patients undeioing 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 year all were 91.76%.Conclusion:CABG not only relieved angina pectories,improved cardiac function,but also improved the survival rates.