不阻断主动脉冠状动脉搭桥术疗效分析  

Off-Pump and Cardiopulmonary Bypass-Hypothermic Ventricular Fibrillation Coronary Artery Bypass Grafting Experience in 10 Patients

作　　者：李小波[1] 单根法[1] 张辅贤[1] 杜奇容[1] 钟竑[1] 戚晓敏[1] 

机构地区：[1]上海第二医科大学新华医院胸心外科,上海200092

出　　处：《上海交通大学学报（医学版）》2001年第6期556-558,561,共4页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的报道 10例不阻断升主动脉的冠状动脉搭桥术的疗效。　方法体外循环低温室颤冠脉搭桥术2例 ;非体外循环冠脉搭桥术 8例。其中三支病变 8例 ;双支和单支病变各 1例。前降支 10例 ,回旋支 6例 ,后降支 2例 ,左主干开口 2例 ,右冠脉 7例。移植血管 :左乳内动脉 7支 ;大隐静脉 2 0支。　结果　术后 1例死于慢性左心衰 ,9例存活 ,心绞痛消失。结论不阻断升主动脉的冠脉搭桥术创伤轻 ,死亡率低 ,并发症少 ,费用低 。Objective To report the clinical results of off-pump coronary artery bypass ( OP CAB ) and cardiopulmonary bypass-hypothermic ventricular fibrillation coronary artery bypass grafting (CPB-HF CABG). Methods 2 patients underwent CPB-HF CABG and 8 patients underwent OP CAB. 8 patients had three-vessel disease, 1 had two and 1 had one. The arteries received grafts: LAD, 10; CX, 6; PDA, 2; LCA, 2; RCA, 7. The types of graft were as follows: LIMA, 7; SVG, 20. Results Some patient died of chronic heart failure after operation. Others survival are free angina pectoris. Conclusion OPCAB and CPB-HF CABG technique can be applied in patients undergoing coronary revascularization. The mortality rate is low, the complication rate is lower than that with traditional techniques, and the medical cost is cheaper. The continuing use of this technique, specially for OPCAB, is therefore justified.

关 键 词：冠状动脉搭桥术 体外循环 非体外循环 低温室颤 

分 类 号：R654.2[医药卫生—外科学]