80例急诊冠脉搭桥的临床疗效分析  

Clinical outcomes of 80 patients after emergency coronary artery bypass grafting

作　　者：李雅琼[1] 徐东[1] 尚学斌[1] 刘燕晖[1] 李洪利[1] 张科峰[1] 刘飞[1] 姚青[1] 李学峰[1] 

机构地区：[1]首都医科大学宣武医院心脏中心,北京100053

出　　处：《北京医学》2012年第7期535-538,共4页Beijing Medical Journal

摘　　要：目的探讨急诊冠脉搭桥(coronary artery bypass grafting,CABG)患者围术期临床疗效。方法回顾性分析2003-2008年我院行急诊CABG的急性冠脉综合征80例,根据入院诊断分为心梗组和非心梗组,根据手术原因分为左主干组、介入治疗(percutaneous coronary intervention,PCI)失败组、循环不稳定组和发作频繁组。应用Bina-ry logistic回归分析对围术期死亡的危险因素进行多因素分析。结果 本组平均年龄(66.49±8.89)岁,围手术期死亡8例(10%)。Binary logistic多因素分析显示,年龄是本组患者围术期死亡的独立危险因素。结论急诊CABG作为一种抢救性治疗,掌握好适应证是安全、有效的。在急诊CABG患者中有应用主动脉内球囊反搏(intra-aortic balloon pump,IABP)适应证应尽早使用,尤其合并循环不稳定时。Objective evaluate the perioperative clinical outcomes of patients after emergency coronary artery bypass grafting. Methods Data from 80 patients who underwent ECABG in our hospital during 2003 to 2008 were retrospectively analyzed. Patients were divided into acute myocardial infarction group and non-acute myocardial infarction group. Patients were further divided into four groups： the left main coronary artery group, percutaneous coronary intervention failure group, ventricular fibrillation group, angina attacks refractory to medical therapy group. The perioperative death risk factors were analyzed by Binary logistic regression. Results he mean age of 80 patients was 66.49±8.89 years, 8 patients died perioperatively. Binary logistic regression suggested that the dependent risk factor of perioperative death was age. Conclusion Emergency CABG as a lifesaving therapy can be performed safely and effectively in selected patients .We suggest applying intra-aortic balloon pump as early as possible especially when cardiac shock happens.

关 键 词：急诊冠脉搭桥 急性冠脉综合征 

分 类 号：R654.2[医药卫生—外科学]