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超高龄冠心病患者部分血运重建的疗效观察

Effects of partial revascularization in elderly patients over 80 years old with coronary artery diseases

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【作者】 张稳柱宋明才梁嘉永李健豪雷汉东陈国钦

【Author】 ZHANG Wen-zhu, SONG Ming-cai, LIANG Jia-yong, LI Jian-hao, LEI Han-dong, CHEN Guo-qin Department of Cardiology, Panyu People’s Hospital, Guangzhou 511400, China

【机构】 广州市番禺区人民医院心内科

【摘要】 目的观察部分血运重建对超高龄冠心病患者的疗效。方法37例80岁以上冠心病患者,均为多支血管病变,仅对最可能的罪犯血管实施PCI术。结果病变手术成功率100%,无严重并发症,住院死亡率2.7%,其余病人全部治愈出院。结论对超高龄冠心病患者采取部分血运重建的介入治疗策略可以达到较满意的临床效果,术中应积极关注患者的心、肾功能状态。

【Abstract】 Objective To observe the clinical effects of partial revascularization on elderly patients with coronary artery diseases(CAD) Methods Percutaneous coronary interventions(PCI) of the most likely culprit vessels were performed in 37 patients over 80 years old with multivessel coronary artery diseases(CAD).Results The success rate of PCI was 100% in these elderly patients without serious complications.The in-hospital mortality rate was 2.7%, and all the other patients recovered and were discharged.Conclusion Partial revascularization for elderly CAD patients can achieve satisfactory clinical results, and close attention should be given to the heart and kidney function of these patients.

  • 【文献出处】 南方医科大学学报 ,Journal of Southern Medical University , 编辑部邮箱 ,2009年01期
  • 【分类号】R541.4
  • 【被引频次】6
  • 【下载频次】72
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