冠状动脉旁路移植术306例临床分析  

Clinical evaluation of coronary artery bypass grafting in 306 cases.

作　　者：王利会[1] 边忠平[1] 高海涛[1] 齐贺文[1] 周丽芹[1] 

机构地区：[1]河北省唐山市工人医院心血管外科,063000

出　　处：《中国综合临床》2008年第1期57-59,共3页Clinical Medicine of China

摘　　要：目的总结306例冠状动脉旁路移植术的临床资料以指导治疗。方法回顾分析306例冠状动脉旁路移植术（CABG）患者的临床资料。结果住院死亡10例，占3．26％。主要并发症包括：低心排14例，严重心律失常26例，脑梗死4例，肺部并发症22例，纵隔感染致多脏器功能衰竭（MOF）1例，切口感染12例。93．5％患者心绞痛完全消失。出院时心功能Ⅰ、Ⅱ级283例。结论CABG治疗冠心病效果满意，但危重患者仍有较高的病死率及并发症，恰当掌握手术指征、正确选择术式、加强国术期管理是成功的关键。Objective To evaluate the clinical data of coronary artery bypass grafting to guide treatment in 306 cases. Methods The clinical data of 306 cases receiving coronary artery bypass grafting （ CABG ） were retrospectivley analzyed. Results 10 cases（3.26% ） died in hespital,4 of whom died from bleeding,3 from lung infection,1 from ventricular fibriUation,1 from medlastinal infection and I from low cardiac output respectively. The other main complications were low cardiac output in 14 cases, arrhythmia（ in 26 cases}, cerebral infarction （in 4 cases）, respiratory failure （in 22 cases ） and infection of incisional wound（ in 12 cases）. 93.5 % survivors were free of angina and their cardiac function were in NYHA class Ⅰ - Ⅱ in 283 cases. Conclusion The surgical effect of CABG is fairly well,but it has relatively high postoperative mortality and complications in patients with high-risk coronary heart disease. Exact understanding of surgical indication, appropriate operation plan and perioperative management are the key to better outcome.

关 键 词：冠状动脉旁路移植 体外循环 冠状动脉疾病 

分 类 号：R654.2[医药卫生—外科学]