Australian and New Zealand journal of medicine最新文献_第2页

Cardiac surgery in octogenarians--The Green Lane Hospital Experience 1995-1998. 八十多岁老人的心脏手术——绿巷医院1995-1998年的经验。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00780.x

S P Wong, S R Dixon, P R Ruygrok, M E Legget

{"title":"Cardiac surgery in octogenarians--The Green Lane Hospital Experience 1995-1998.","authors":"S P Wong, S R Dixon, P R Ruygrok, M E Legget","doi":"10.1111/j.1445-5994.1999.tb00780.x","DOIUrl":"https://doi.org/10.1111/j.1445-5994.1999.tb00780.x","url":null,"abstract":"Background: An increasing number of patients aged 80 years and over are being considered and accepted for cardiac surgery.Aim: To review the experience of surgery in this elderly group of patients at our institution.Methods: Hospital records of octogenarians undergoing surgery between January 1995 and September 1998 were reviewed and follow-up was obtained by general practitioner (GP) and patient questionnaires.Results: Thirty-seven patients underwent cardiac surgery. The mean age was 82.8+/-1.4 years (range 80.8 to 86.2 years). Twenty-three (62%) were male. All were independent pre-operatively with severe symptoms and minor co-existing morbidity. All operations were urgent except two (emergency). Twenty patients (54%) had isolated coronary surgery, six (16%) aortic valve replacement alone, and 11 (30%) combined surgery. There were four (11%) early deaths and five (14%) peri-operative neurological events. The mean duration of post-operative intensive care stay was 2.4+/-3.9 days (range 0.05 to 16, median 1.0) and post-operative hospital stay 14.0+/-13.9 days (range 0 to 79, median 11). At the time of follow-up (mean duration 20.0+/-11.2 months) two further patients had died (non-cardiac). Twenty-six of the 31 survivors were living at home (23 independently), one with relatives, and four in residential care. Their cardiac symptoms were well controlled. The GPs of all hospital survivors, and all surviving patients themselves, felt that cardiac surgery had been beneficial.Conclusions: Cardiac surgery in the very elderly has been reserved for those with severe disease or symptoms and little co-morbidity. Early mortality is higher than for the general population undergoing cardiac surgery, but post-operative resource use is acceptable and the intermediate-term outcome for survivors is good.","PeriodicalId":75573,"journal":{"name":"Australian and New Zealand journal of medicine","volume":"29 6","pages":"782-8"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1445-5994.1999.tb00780.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21530870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Bedside pacetermination of arrhythmias using an explanted automatic defibrillator. 使用外植自动除颤器的床边心律失常终止。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00784.x

C B Singleton, D L Kuchar, C W Thorburn

引用次数: 2

Post obstructive pneumonia secondary to endobronchial tuberculosis--an institutional review. 支气管内结核继发后阻塞性肺炎——一项机构综述。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00802.x

R Soni, D Barnes, P Torzillo

引用次数: 3

Pulmonary and meningeal cryptococcosis in pulmonary alveolar proteinosis. 肺泡蛋白沉积引起肺隐球菌病和脑膜隐球菌病。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00803.x

Y C Lee, G T Chew, B W Robinson

引用次数: 14

Trepopnoea due to positional narrowing of the left main bronchus. 左主支气管位置性狭窄引起的螺旋体。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00800.x

I A Yang, S C Bell, K M Fong, P M Aldons

引用次数: 0

DOCTOR AND PATIENT EXPLORING CLINICAL THINKING. By Ken Cox 医生和病人探索临床思维。肯·考克斯

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/J.1445-5994.1999.TB00804.X

J. Balla

引用次数: 11

Medicine at the beginning of the 21st century: a personal viewpoint--a peripatetic overview. 21世纪初的医学:一种个人观点——一种漫游式的概述。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00787.x

E Byrne

引用次数: 0

Extracranial vertebral artery dissection presenting as neurogenic pulmonary oedema. 颅外椎动脉夹层表现为神经源性肺水肿。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00789.x

R M L'e Orme, N M McGrath, R J Rankin, R W Frith

引用次数: 9

Multiple organ failure related to pantoprazole. 泮托拉唑相关的多器官衰竭。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00796.x

I F Yusoff, P Nairn, C A Morgan

引用次数: 14

Irukandji-like syndrome in Victoria. 维多利亚的伊鲁坎吉样综合症。

Australian and New Zealand journal of medicine Pub Date : 1999-12-01 DOI: 10.1111/j.1445-5994.1999.tb00797.x

A C Cheng, K D Winkel, G M Hawdon, M McDonald

引用次数: 18