拉巴特穆罕默德五世军事医院心脏外科的经验

A. Abdou, F. Nya, M. Bamous, R. Mounir, N. Atmani, A. Seghrouchni, Y. Moutakiallah, A. Boulahya, M. Aithoussa
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引用次数: 0

摘要

冠状动脉疾病合并严重左心室功能障碍的患者是外科心肌血运重建术的高危患者。本研究的目的是评估短期和长期发病率和死亡率,并确定其预测因素。方法:我们在2000年至2015年期间在拉巴特穆罕默德五世军事指导医院心脏外科进行了回顾性研究。采用SPSS软件进行统计分析。74例患者(平均年龄74±10岁,射血分数[FE]: 30.07%±4.5,Euroscore: 6.6±2.9)。结果:住院死亡率9.5%,随访时间59.2±36个月。10年生存率为57%。患者的临床症状和超声心动图参数均有改善(术后FE: 40.36%±11.2)。结论:在本组手术风险高的患者中,多项研究的长期结果表明手术治疗优于内科治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Myocardial Revascularization in Patients with Severe Left Ventricular Dysfunction: Experience in the Cardiac Surgery Department of the Military Hospital Mohammed V of Rabat
Patients with coronary artery disease associated with severe left ventricular dysfunction, candidates for surgical myocardial revascularization, are with high operative risk. The aim of this study was to assess short and long-term morbidity and mortality and to identify their predictive factors. Methods: We conducted a retrospective study in the cardiac surgery department of the Military Instruction Hospital Mohammed V- Rabat, between 2000 and 2015. The statistical analysis was executed by SPSS. There were 74 patients (mean age 74±10 years, ejection fraction [FE]: 30.07%±4 .5, Euroscore: 6.6±2.9). Results: Hospital mortality was 9.5%, with a follow up time of 59.2 ± 36 months. The survival rate at 10 years was 57%. There was also an improvement in their clinical symptoms and echocardiographic parameters (postoperative FE: 40.36%±11.2). Conclusion: In this group of patients with high operative risk, the long-term results of several studies demonstrate the superiority of surgical treatment on medical treatment.
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