非体外循环下冠状动脉搭桥术  

Off-pump coronary artery bypass grafting

作　　者：姚建民[1] 贾清仁[1] 卢宁[1] 肖志斌[1] 赵向东[1] 王明岩[1] 陆龙[1] 

机构地区：[1]北京军区总医院心血管病中心外科,北京市100700

出　　处：《当代医学》2006年第11期7-8,共2页Contemporary Medicine

摘　　要：目的介绍非体外循环下冠状动脉搭桥术(OPCAB)的应用体会。方法自1999年1月至2006年11月,OPCAB 266例,年龄39—88岁,单支血管病变2例、两支血管病变20例,三支血管病变244例,LVEF26—67％。结果术后呼吸机辅助8．2±3．3小时,138例(51％)不需输血,一过性心房纤颤15例,伤口感染4例,低心排出量综合征3例,二次开胸止血2例,肺部感染1例,住院死亡4例(1．5％)。生存262例,症状消失或明显减轻,生活质量明显提高。结论OPCAB创伤小、恢复快、安全可行。Objective To summarize our experience in off-pump coronary artery bypass grafting （OPCAB）. Methods Between January 1999 and November 2006, 266 patients with coronary artery diseases, aged 39-88 years old, underwent coronary artery bypass grafting with off-pump technique. Of the 266 patients, there was single vessel disease in 2 case, double vessel disease in 20 cases, triple vessel disease in 244 cases, LVEF was 26% to 67%. Results The mechanical ventilation time was 8.2±3.3 hours, 138 cases （51%） had no blood transfusion after operation. Two eases received reoperation for massive haemorrhage. Temporary atrial fibrillation occurred in 15 cases, wound infection in 4, low cardiac output syndrome in 3, lung infection in 1. There were 4 hospital deaths （1.5%）. All the 262 survivors had no symptom or significantly reduced symptoms with improvement in quality of life. Conclusions off-pump coronary artery bypass grafting appears to be minimally invasive, safe and effective with less complications.

关 键 词：微创技术 冠状动脉搭桥术 

分 类 号：R654.2[医药卫生—外科学]