问:您对冠状动脉旁路手术的看法及评价如何? 答:McIntosch综述了冠状动脉旁路手术的经验,发表于Circulation杂志1978年第3期上。这是一篇很重要的文章,因为McIntosch早先极倾向于冠状动脉旁路手术。美国已有36万人作过此手术,在1977年有10万人,1978年有15万人,它已成为主要的一种心脏外科手术。首先,这一手术是否能防止心肌梗塞,防止严重的心律失常、心力衰竭以及早年死亡。旁路手术当然可以使心绞痛缓解,但许多已被抛弃的外科手术亦可缓解心绞痛。患者要求手术不仅要解除疼痛,最主要的是希望能延长寿命。旁路手术 Q: How do you rate and evaluate coronary artery bypass surgery? A: McIntosch reviewed the experience with coronary artery bypass surgery published in Circulation magazine, Issue 3, 1978. This is a very important essay because McIntosch had previously favored coronary artery bypass surgery. Already, 360,000 people in the United States have undergone this operation, 100,000 in 1977 and 150,000 in 1978. It has become a major cardiac surgery. First of all, whether this surgery can prevent myocardial infarction, prevent serious arrhythmia, heart failure and early death. Of course, bypass surgery can relieve angina, but many abandoned surgery can also relieve angina. Patients require surgery not only to relieve pain, the most important thing is to hope to extend life expectancy. Bypass surgery