急诊冠状动脉搭桥非停跳技术的应用体会  

Application Experience of Emergency Off-pump Coronary Artery Bypass Grafting Technique

作　　者：柴召强[1] 郑建伟[2] 于文舟[2] 马海峰[2] 张杰[2] 

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261042 [2]潍坊市人民医院心外科,山东潍坊261042

出　　处：《现代生物医学进展》2009年第23期4529-4530,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨急诊非停跳冠状动脉搭桥术(OPCAB)临床应用价值。方法:对23例急诊非停跳冠状动脉搭桥术患者的临床资料进行回顾性分析。结果:2例因术中血流动力学不稳定改为体外循环下冠状动脉旁路移植术CCABG,其余21例OPCAB手术顺利完成。搭桥数目为2-6个,平均3.32±0.596个。围手术期死亡2例,一过性心房纤颤3例,低心排出量综合征1例,肺部感染l例,术后无神经系统并发症,无二次开胸止血、急性肾功能衰竭等并发症。随访8-15个月,无死亡病例,无心绞痛复发,无心肌缺血事件发生,患者生活质量明显提高。结论:OPCAB创伤小、恢复快,并发症少,可安全有效地应用于急诊冠状动脉搭桥术。Objective：To investigate the clinical value of Emergency Off-pump coronary artery bypass grafting（OPCAB）. Methods：The data of 23 cases of emergency off-pump coronary artery bypass grafting were retrospectively analysed.Results：Two patients with hemodynamic instability were switched to On-pump coronary artery bypass grafting surgery during the operation,The other 21 cases of OPCAB surgery was successfully completed.The number of bypass grafting ranges from 2-6,3.32±0.596 on average.There were 2 deaths during Perioperative Period.Temporary atrial fibrillation occurred in 3 cases,low cardiac output syndrome in 1,lung infection in 1 patient.There was no postoperative neurological complication,no reoperation for massive haemorrhage and no acute renal failure.Conclusions：Off-pump coronary artery bypass grafting（OPCAB）appears to be minimally invasive and effective with less complications.OPCAB can be safely and effectively used in emergency coronary artery bypass surgery.

关 键 词：冠状动脉搭桥术 体外循环 非体外循环 

分 类 号：R541[医药卫生—心血管疾病]