摘要
目的:总结分析2005年度连续272例非体外循环冠状动脉搭桥术(OPCAB)的早期临床结果。方法:连续完成OPCAB手术272例。平均远端吻合口数目(3.2±0.9)个,搭桥材料取乳内动脉258例,桡动脉107例,大隐静脉265例。结果:心绞痛症状缓解,机械通气时间(13±5)h,输血190例,监护时间(52±15)h。术后并发症:纵隔炎0例,围手术期心肌梗死3例,新发脑卒中1例,新出现的肾功能不全1例,室颤6例,二次开胸止血3例。主动脉内球囊反搏30例。住院死亡4例,死亡率1.47%。结论:OPCAB手术安全可行,近期疗效满意,适宜临床推广使用。
Objective：To analyze early clinical results of 272 consecutive patients undergone off pump coronary artery bypass （OPCAB） procedure. Methods： OPCAB was performed for 272 consecutive patients without conversion to cardiopulmonary bypass. The average number of distal anastomoses was 3.2 ± 0.9, for which the grafts used were 258 left internal mammary arteries （ LIMA）, 107 radial arteries （RA） and 258 saphenous veins. Results： The extubation time was 13±5h and the ICU stay was 52 ± 15h. There were 190 patients blood transfusion. The operative complication was including 3 myocardial infarction, 3 bleeding, 1 stroke and 0 mediastinitis, 1 new renal failure and 6 life -threatening arrhythmia. 30 patients used IABP. 4 death occur in hospital, mortality is 1. 47%. Conclusions： Our experience suggests that OPCAB procedures are feasible and safe for most patients , and suitable for a wider application in clinic.
出处
《中国民康医学》
2006年第9期354-355,共2页
Medical Journal of Chinese People’s Health
