摘要我国心血管外科经过30多年的蓬勃发展,无论整体规模还是技术发展均取得了令人瞩目的进步.然而,随着新药物的研发和介入技术的进步,心血管外科在多个治疗领域具有的一些传统技术优势正在减弱.另外,互联网医疗引起的医患关系改变,学科自身吸引力下降等因素,使心血管外科的发展面临诸多挑战.当前,应以“患者至上”为治疗理念,利用新的诊疗技术,实现个体定制化的精准医疗,融合介入、影像等学科的优势,实现技术突破,发展创伤更小、疗效更优的治疗新技术和治疗新模式,组建以患者为中心的心脏团队;同时,心血管外科医师应寻求“跨界”,完善自身知识结构,向学术型医师转变.应当重视科研在学科发展中的作用,开展以临床需求为导向的临床研究,用科研成果改变医疗实践,通过科研创新把握心血管疾病治疗的话语权,为患者提供更优质的医疗服务,重塑心血管外科的学科优势,再续心血管外科的传奇.

abstractsThe cardiovascular surgery in China has achieved great progress both on scale and technology though development over the past thirty years.However,the technical predominance of cardiovascular surgery in therapies for some diseases has been weakened,along with developments of new drugs and interventional technology.Besides,the change of doctor-patient relationship result from internet medical information service and less attraction of cardiovascular surgery discipline to talents bring certain challenge to the development of cardiovascular surgery.Currently,cardiovascular surgeons should practice the“patient first”principle,carry out individual customized treatment and precision therapy,absorb the advantages of other subjects like intervention and imaging in order to achieve technological breakthroughs,create new treatment technologies and models with smaller trauma and better outcome,establish heart team to provide patient oriented treatment.Besides,cardiovascular surgeons should improve knowledge system by learning related technology and science,become hybrid doctors of research.Cardiovascular surgeons should pay high attention to critical effect of research on the disciplinary development,carry out question and demand oriented clinical studies,change the medical practice by virtue of research achievements,direct the treatment for cardiovascular diseases,and finally provide better health service and rebuild the predominance of cardiovascular surgery.