胆囊炎胆囊结石对冠心病的影响(附6例报告)

本文报告了6例结石性胆囊炎合并冠心病的患者。术前6例均有心绞痛,胆绞痛常诱发心绞痛;心电图示:6例均有冠脉供血不足。胆囊切除术后随访(最短半年,最长11.5年,平均3.5年)。4例心绞痛基本消失,2例明显减轻,心电图2例正常,2例好转;2例无变化;1例频发房早房颤9年,术后心律失常消失。6例心功能均改善。因此,我们认为结石性胆囊炎合并冠心病不是胆囊切除术的禁忌症,对于这类患者应在准备充分的情况下尽早择期手术,这不仅可防治胆石病及其并发症,还可以改善冠心病的症状及预后。

THE EFFECTS OF CALCULOUS CHOLECYSTITIS ON CORONARY HEART DISEASA-AREPORT OF 6 CASES

The paper reports 6 cases of calculous cholecystitis accompanied with coronary heart disease, All of them had angina attacks before cholecystectomy,And angina was often induced by biliary colic. Electrocaraio graphics showed that the coronary bloodsupplies of these cases were insufficicnt. these patients had been followed for 6 months to 11.5 years after operation(average 3.5 years). Angina disappeared completely in 4 cases and deminished in 2 cases. ECG abnormalities complerely recovcd in 2 cased, improved in 2 and remained unchanged in 2. One of 6 cases who had suffered from atrial premature best and atria lfibrillation for 9 years had no attack after cholecystectomy. The cardiac status improved in all of them. According to the above observations it is suggested that the coexisting of calculous cholecystitis and coronary heart disease is not in contrndication to cholecystectomy. Such cases should be treated with elective cholecystectomy as early as possible under well preoperative preparation This not only can treat and prevent cholelithiasis and its complications, but also may improve the condition and prognosis of coronary heart disease.