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本文主要的结论是:患者手术前曾有心肌梗塞或心电图检查提示有心内膜下损害或左心室肥大等异常改变者,在手术后作心电图连续监护,对估计心肌梗塞之发生及其预后有很高的价值。作者在三年内通过对12,654例在全身或局部麻醉下施行大手术的患者进行观察,发现其中12例在术前无明显心脏病史及正常心电图患者在手术后发生了心肌梗塞,故作者认为在手术前无明显冠心病征象的患者中,0.1%可在手术后发生心肌梗塞;在214
The main conclusions of this paper are: patients had myocardial infarction or ECG before surgery showed that subendocardial damage or left ventricular hypertrophy and other abnormal changes in patients with ECG after continuous monitoring, the estimated myocardial infarction and its prognosis is very High value. In three years, 12,654 patients undergoing major surgery under general or local anesthesia were observed and found that 12 of them had no history of preoperative cardiac disease and patients with normal ECG had myocardial infarction after surgery. Therefore, 0.1% of patients with no prior signs of coronary heart disease had myocardial infarction after surgery; at 214