摘要
目的总结38例冠状动脉旁路移植手术(CABG)的临床效果。方法回顾分析1997年1月至2005年5月38例冠状动脉旁路移植手术资料,其中合并高血压17例,合并糖尿病5例。急诊搭桥3例。单支病变4例,双支病变9例,3支病变25例,左主干狭窄3例。体外循环心脏停跳下行CABG34例;非体外循环心脏不停跳下CABG4例,同期3例用美国Eclipse心肌激光打孔仪行激光心肌血运重建,平均每例搭桥2.8支。结果早期死亡2例,死亡原因为围手术期心肌梗死1例,胸骨哆开后呼吸功能衰竭1例。无远期死亡。术后心绞痛消失26例,明显减轻10例。结论冠状动脉旁路移植是安全的手术,手术技术和围术期处理水平的提高是降低手术死亡率的主要原因。
Objective To report the coronary artery bypass grafting （CABG） in 38 cases. Methods From Jun 1997 to May 2005, 38 patients underwent CABG, who included 30 male and 8 female, and whose age was （66.5 ±5.6） years （range 48 to 83 years）. Among all patients, 17 patients had hypertension and 5 had diabetes mellitus, 3 patients underwent emergency CABG. Thirty-four patients were employed to on-pump CABG and 4 patients to off-pump CABG, among whom 4 patients were of single-vessel disease, 9 of double-vessel disease, 25 of triple-vessel disease, including 3 of left main coronary artery disease. Three patients out of 38 underwent transmyocardial laser revascularization concomitantly. An average of 2.8 grafts was fixed up per patients. Results There were two postoperative death, one due to perioperative myocardial infarction, the other for respiratory function failure after sternum split. The angina of 26 patients was free, 10 relieved. Conclusion CABG is a safe operation. Improved surgical techniques and perioperative management were the main factors in reducing early mortality.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2005年第24期2431-2432,共2页
Journal of Third Military Medical University
关键词
冠状动脉旁路移植术
体外循环
围手术期
coronary artery bypass grafting
extracorporeal circulation
perioperation
