摘要
目的 本文报道 5 9例冠状动脉旁路移植 (搭桥 )术 ,并进行了临床分析。方法 1996年前 8例病例采用低温间断晶体停跳液灌注技术 ,于 1996年起全部采用了新的体外循环技术———低温一次性含血停跳液顺行灌注加连续性逆行灌注晶体停跳液。结果 严重并发症 6例 ,住院死亡率 1 7%。结论 就①体外循环技术 ;②高龄病人接受冠状动脉旁路移植术 ;③搭桥术中使用内乳动脉 ;④在低心排综合征中使用IABP ;⑤不停跳心脏搭桥术及双侧内乳动脉的应用等问题进行了讨论。
Objective Clinical analysis of 59 cases of coronary artery bypass grafting had been presented in this article. Method Before 1996,hypothermic intermittent crystalloid cardioplegia infusion technique had been used. After 1996, a new cardiopulmonary bypass technique was used and it was hypothermic one time antegrade blood cardioplegia infusion plus continuous retrograde crystalloid cardioplegia infusion technique. Result Severe operative complications were found in 6 cases. The hospital mortality was 1.7%. Conclusions ①Technique of cardiopulmonary bypass; ② CABG in elderly patients; ③ Using internal mammary artery in CABG; ④Application of IABP in low cardiac output syndrome; ⑤Application of “Off Pump technique” and bilateral mammary artery in CABG.
出处
《岭南心血管病杂志》
2000年第1期7-9,共3页
South China Journal of Cardiovascular Diseases
关键词
冠状动脉旁路移植术
体外循环
内乳动脉
Coronary artery bypass grafting Cardiopulmonary bypass technique Internal mammary artery\ “Off Pump” CABG
