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有关术中心肌梗塞对术后生存率和病废率影响的报道甚少。本文目的是报道1978年10个医院1,340例单纯冠状动脉旁路术患者的围术期心电图上穿壁性心肌梗塞的发生率,术前临床、血管造影、外科等方面的变量因素对预计并发围术期心肌梗塞的意义,以及比较术后出现新 Q 波病例与未出现 Q波病例的三年累积生存率,以确定术后新 Q 波对即期和长期预后的影响。
There are few reports about the influence of intraoperative myocardial infarction on the postoperative survival rate and disease rejection rate. The purpose of this paper is to report the incidence of perioperative electrocardiogram (MI), the preoperative clinical, angiographic, and surgical variables in 1,340 patients undergoing coronary artery bypass surgery in 10 hospitals in 1978, The significance of myocardial infarction during operation, and the three-year cumulative survival rate of new Q wave cases and no Q wave cases after operation to determine the effect of postoperative Q wave on immediate and long-term prognosis.