摘要
目的 :总结应用冠状动脉旁路移植术 (CABG)治疗冠心病 (CAD)的早期效果和经验。方法 :回顾性分析 96例CABG。应用体外循环 (CPB) 74例 ,非体外循环 2 2例。搭桥数 2 64支 ,平均 2 .7支。对手术方法、主要并发症和术后处理进行分析总结。结果 :本组 96例手术 ,95例患者均痊愈出院 ,1例死于顽固性快速室上性心律失常伴室性心律失常。术后发生心律失常 16例 ;气胸 1例 ,为呼吸机辅助下自发性气胸 ;心功能不全 3 2例 ;二次开胸止血 1例 ;切口感染 2例 ;42例取静脉侧下肢有轻度水肿 ,2～ 4个月后消失 ;胸腔积液 11例。上述并发症均给予相应处理后痊愈。术后心绞痛症状消失者 61例 ,明显减轻者 2 9例。无明显改善者 6例。 92例随访 1～ 41个月 ,随访率 96.8% ,所有患者心功能均得到明显改善。结论 :合理的选择病人 ,成熟的手术技术 ,良好的心肌保护及加强术后管理 ,能有效提高冠状动脉旁路移植术的疗效。
Objective To introduce the experience of the treatment of coronary artery disease with coronary artery bypass grafting(CABG).Methods Retrospective study was carried out in 96 patients with coronary artery disease by CABG.Seventy-four patient received CABG with cardiopulmonary bypass and 22 off-pump CABG.Two hundred sixty-four blood vessels were transplanted to patients,average of 2.7.Surgical technique,complications and post-operative treatment were analyzed.Results Ninty-five cases had favorable outcomes.Early death occurred in 1 patient.Early post-operative complication included arrhythmia in 16,low cardiac output syndrome in 32,reopen for bleeding in 1.Conclusion Suitable adapted 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
《实用诊断与治疗杂志》
2004年第4期287-289,共3页
Journal of Practical Diagnosis and Therapy
关键词
冠心病
冠状动脉旁路移植术
非体外循环
Coronary artery disease
coronary artery bypass grafting
off-pump
