CAJ | 학술논문

目的总结≥80岁心脏手术患者的临床资料，评价手术效果。方法回顾性分析2004年6月至2013年1月接受心脏手术年龄≥80岁的29例患者，男23例，女6例；平均年龄（81.6±1.94）岁。单纯冠心病21例，主动脉瓣狭窄5例，冠心病合并主动脉瓣关闭不全1例，升主动脉瘤1例，感染性心内膜炎1例。结果术后死亡1例，病死率为3.4%。术后出血行手术止血1例，急性呼吸功能不全6例，急性肾功能损伤8例，监护时间（4.2±2.1）d。平均随访（37.3±19.1）个月，随访期死亡9例。结论≥80岁患者仍然可以安全有效地接受心脏手术。谨慎的患者选择、详细的术前评估和密切的多学科协作是手术成功的关键。
목적총결≥80세심장수술환자적림상자료，평개수술효과。방법회고성분석2004년6월지2013년1월접수심장수술년령≥80세적29례환자，남23례，녀6례；평균년령（81.6±1.94）세。단순관심병21례，주동맥판협착5례，관심병합병주동맥판관폐불전1례，승주동맥류1례，감염성심내막염1례。결과술후사망1례，병사솔위3.4%。술후출혈행수술지혈1례，급성호흡공능불전6례，급성신공능손상8례，감호시간（4.2±2.1）d。평균수방（37.3±19.1）개월，수방기사망9례。결론≥80세환자잉연가이안전유효지접수심장수술。근신적환자선택、상세적술전평고화밀절적다학과협작시수술성공적관건。
Objective To evaluate the clinical outcome of cardiac surgery in octogenarians. Methods Clinical da-ta of 29 patients older than 80 years who underwent cardiovascular operations between 2004 and 2013 in our institution were retrospectively analyzed. There were 23 males and 6 females, with the mean age of 81.6 ±1.94. The diagnosis was iso-lated coronary artery disease in 21 patients, isolated aortic stenosis in 5 patients, combined coronary artery disease and aortic insufficiency in 1 patient, aneurysm of ascending aorta in 1 patient, and infective endocarditis in 1 patient (s). Re-sults One postoperative death occurred, the mortality rate was 3.4%. One patient underwent re-exploratory operation due to bleeding, 6 patients experienced acute respiratory distress and 8 patients suffered acute kidney injury. Mean intensive care unit stay time was 4.2±2.1 days. The mean follow-up period was 37.3±19.1 months, and 9 late deaths were observed. Conclusion Cardiac surgery procedures can be safely and effectively performed in octogenarians. Prudent selection of pa-tients, based on the evaluation of systemic co-morbidities, and close multi-disciplinary coordination are key elements for successful operation.