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作者对过去曾患过卒中的病人行冠脉旁路手术(CABG)期间的卒中危险性作过前瞻性小样本研究,本文对有缺血性卒中史接受开心手术(OHS)的127例病人的临床结局进行回顾性调查.近期卒中(OHS前3月内)30例,平均64岁(37～87);远期卒中(OHS前3月以上)97例,平均66岁(32～81).近期组术前无或有轻微神经系缺陷者占90%(27/30),远期组占99%(96/97).前部循环卒中占多数(85%).有CT资料者69例,多为大血管梗塞(43),余为腔隙性(9)或正常(17).两组的危险因素略同:高血压60%,心肌梗塞46%,吸烟35%,糖尿病70%.除近期组1例因术后未康复未列入分析外,两组术后共17例(13.4%)发生
In a prospective, small-sample study of the risk of stroke during coronary artery bypass grafting (CABG) in patients with past stroke, the authors of this study evaluated 127 patients with ischemic stroke who underwent open heart surgery (OHS) Thirty-six patients (37-87) were included in the recent stroke (within the first 3 months of OHS), and 97 patients (range, 3-8 years old) with long-term stroke (more than 3 months before OHS). In the recent group, 90% (27/30) had no or minor neurological deficits, and 99% (96/97) in the long-term group.The majority of anterior circulation stroke (85%) had CT data in 69 cases (43) and lacunar (9) or normal (17) .The risk factors for both groups were similar: hypertension 60%, myocardial infarction 46%, smoking 35%, and diabetes 70%. In addition to the recent group of 1 patients were not included in the analysis of post-rehabilitation, the two groups after a total of 17 cases (13.4%) occurred