摘要
目的 总结冠状动脉旁路移植术治疗冠心病的体会。 方法 回顾性分析 3 0 6例冠状动脉旁路移植术。男 2 49例 ,女 5 7例。应用体外循环 2 3 4例 ,非体外循环 72例。搭桥数 1～ 6支 人 ,平均 (3 .45± 1.2 5 )支 人。对手术方法、主要并发症和术后处理进行分析总结。结果 二次开胸 5例 (1.6% ) ,低心排综合征 10例 (3 .3 % ) ,应用IABP4例 (1.3 % ) ,肝功能不全 6例 (2 .0 % )。肾功能不全 7例 (2 .3 % ) ,反复发作房颤 2 3例 (7.5 % ) ,肺功能不全 6例(2 .0 % ) ,脑合并症 3例 (1.0 % ) ,胸腔积液 41例 (13 .4% )。死亡 7例 (2 .3 % ) ,其余病人康复出院。结论 合理的选择病人 ,成熟的手术技术 ,良好的心肌保护及术后处理的加强是提高冠状动脉旁路移植术疗效的重要措施。
Objective: In order to summarize the results and experience of coronary artery bypass grafting(CABG) for coronary artery disease. Methods: Aretrospective study was carried out review experience.306 cases with coronary artery disease underwent CABG.249 males and 57 females.CABG with cardiopulmonary bypass(CPB)in 234,off-pump CABG in 72.We transplanted 1-6 blood vessels to patient,ranged 3.45±1.25.Surgical technique,complications and post-operative treatment were analyzed.Results: Early post-operative complication included:Reopen in 5(1.6%),LCOS in 10(3.3%),IABP used in 4(1.3%),hepatic dysfunction in 6(2.0%),renal insufficiency in 7(2.3%),repeatedly atrial fibrillation in 23(7.5%),respiratory insufficiency in 6(2.0%),complication of CNS in 3(1.0%),pleural effusion in 41(13.4%)and death in 7(2.3%).The others had favorable outcomes.Conclusion:Suitable adaptative disease,excellent surgical technique,advanced myocardial protection and enhancing post-operative treatment can significantly improve the results of CABG for the patients with coronary artery disease.
出处
《海南医学》
CAS
2003年第3期1-2,共2页
Hainan Medical Journal
