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为了了解非心脏手术病人术后心肌缺血的发生情况.作者选择了男性非心脏手术474例,手术种类包括大血管、胸腔、腹腔、眼科及神经外科等.分别于术前48hr、术中及术后48hr用二道AM Holter连续监测记录患者的EKG.所有病人均为冠心病(CAD)和可疑CAD病人.前者包括陈旧性心肌梗塞、典型心绞痛、活动后EKG有缺血表现的不典型心绞痛或铊闪烁法显示心肌灌注不足;后者是指有血管手术史或在下列心脏危险因素中(年龄>65岁、高血压、吸烟、血胆固醇>6.20mmol/L、糖尿病)有二项者.
In order to understand the postoperative myocardial ischemia in patients with non-cardiac surgery, the authors selected 474 male non-cardiac surgery patients, including major vessels, thoracic cavity, abdominal cavity, ophthalmology and neurosurgery. EKG was recorded continuously by two AM Holter monitors 48 hr postoperatively.All patients were patients with CAD and suspected CAD.The former included old myocardial infarction, typical angina pectoris, atypical angina pectoris with ischemic EKG activity Or thallium scintigraphy shows myocardial perfusion; the latter refers to the history of vascular surgery or in the following cardiac risk factors (age> 65 years, hypertension, smoking, blood cholesterol> 6.20mmol / L, diabetes) have two.