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GII THIU
CC TI BO CO TI HI
NGH TIM MCH MIN TRUNGTY NGUYN M RNG LN
TH VI TI BUN MA THUT
THNG 8 NM 2011
F. MANTZ
D. THIBAUD
Trung tm Y khoa Orangerie
STRASBOURG
NGHIN CU SO SNH
T1/01/1994
n 31/12/1998
T 1/01/2006
n 31/12/2010
624 BN
662 lt PT
AG
401
AL
304
1
AG
49
AL
613
4
CH NH HIN NAY CA GY
M TON THN
Gy m cc b tht bi
Yu cu ca BN / tnh trng ca BN
Shunt lp trnh
Hp M cnh ti pht??? (21/34)
705 t phu
thut
Femme: N
Homme: Nam
CC YU T NGUY C
HTA traite: tng HA
iu tr
DIND: T khng
ph thuc insulin
DID: T ph
thuc insulin
Atteinte coronaire:
Bnh mch vnh
TRIU CHNG
13/705
1,84 %
2006 - 2010
2/662
0,3 %
K THUT M
K THUT CM TO HNH
MCH CNH LN NGC
BC TCH NI MC VI
NG KHU N GiN
K THUT M
CC K THUT KHC
1994 1998
8
4
2006 2010
1
17
1
TO SHUNT M CNH
A GIC WILLIS
CC CH NH T SHUNT
1994 1998
20
23
35
5
2006 - 2010
Theo N
P tn d < 40
Tht bi vi
test kp
khc
0
10
47
2
2006 - 2010
Di gy m ton thn
Di gy m cc b
35
(83/705) 11,7
7
2
52
TNG CNG
(59/662) 8,9 %
%
18/83 = 21,6 TC NG MCH I 11/59 = 18,6
BN
TI HP
1994 1998
22
2006 - 2010
Ti hp phu thut
34
1/01/1994 et
31/12/1998
Ti hp xut hin v
c m trong qua
trnh nghin cu:
2 % (6/244)
2,6 % (1/38)
0
0,9 % (1/109)
0,93 % (5/535)
0,49 % (2/408)
1/01/2006 et
31/12/2010
2006 - 2010
AVV
Chp mch
Siu m
Chp mch Ct
scan
TNG CNG
578
0
72
21
671/662
gestes
KT QU
1994 1998
2006 - 2010
Nhim trng
0
0
09/705 = 1,2 %
T l ti can thip
15/662 = 2,2 %
mu t vng c
11
Hp tn d
T l t vong
30 ngy
1994 1998
4 (AG)
0
1
5/705 = 0,7
%
2006 - 2010
TBMMN
Nhi mu
t t
0
1
1
2/662 = 0,3
%
2006 - 2010
2 (gy m cc b)
1994 1998
2006 - 2010
12/705
6/662
1,7 %
0,9 %
T vong do bnh l TK
1994 1998
4
3
2 (<6 thng)
1,27 %
2006 - 2010
TBMMN v t
vong
TBMMN khng
tin trin> 6 thng
0
0
1994 1998
1,4 %
2006 - 2010
T l t vong 30 j
(t vong do mi
nguyn nhn +
TBMMN)
0,9 %
2006 - 2010
7/705
7/662
1%
1%
Kt lun :
phu thut M cnh hin ti
Gy m cc b lm thng quy
Gy m cc b: hp l ha cc ch nh t shunt
Gy m cc b khng gy ra cc bin chng tim
mch nh gy m ton thn ngc li gip x tr tt
cc vn tim mch tin phu
K thut to hnh mch cnh : khng cn gy tc
mch sau m t 2006-2010
Scanner no+ cn quang= ch inh nht thi
Thi iu tr tch cc nu hp tn d sau phu
thut: khng xy ra TBMMN khng c t vong do
TBMMN trong nghin cu 2006 - 2010