摘要
目的分析总结105例冠状动脉旁路移植术后监护和处理的临床经验.方法回顾性总结105例冠状动脉旁路移植术的临床资料.结果住院死亡4例,死亡率3.8%.其他并发症包括:低心排(5.71%),室性心律失常(12.38%),围术期心梗(1.90%),房颤(20.00%),低氧血症(20.95%),高血糖(35.23%),伤口感染(1.90%),出血(0.95%),精神障碍(2.86%).随访3月～3年,3例再发严重心绞痛.结论冠状动脉旁路移植术是治疗冠心病的有效方法,术后监护和处理是保证手术成功的关键之一.
Objective:To summarize and analyze the clinical experience of postoperative management of coronary artery bypass grafting in105patients.Methods:105cases with coronary artery bypass grafting were retrospectively summarized.Results:The total hospital mortality was3.8%.The morbidity included5.71%low output syndrome,12.38%ventricular arrhythmias,1.90%peri-operative myocardial infarction,20.00%atrial fib-rillation,20.95%hypoxia,35.23%hyperglycenia,1.90%incisions infection,95.00%post-operative bleeding,2.86%mental disorder.Follow up was made from3months to3years.Serious angina in3cases recurred.Conclusions:Coronary artery bypass grafting is an effective way to treat coronary artery disease.And postoper-ative management is very important for operation successful.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第14期130-132,共3页
China Journal of Modern Medicine
关键词
冠状动脉旁路移植术
术后监护
coronary artery bypass grafting
postoperative monitoring
