非体外循环不停跳冠脉旁路移植治疗左主干重度狭窄临床分析  

An analysis of off-pump coronary bypass grafting for severe left main coronary artery stenosis

作　　者：李德闽[1] 王常田[1] 申翼[1] 张利东[2] 周志强[2] 张晓华[1] 程晓峰[1] 黄海嵘[1] 吴海卫[1] 景华[1] 

机构地区：[1]南京军区南京总医院心胸外科,江苏省210002 [2]南京军区南京总医院麻醉科,江苏省210002

出　　处：《江苏医药》2013年第5期570-572,共3页Jiangsu Medical Journal

摘　　要：目的探讨非体外循环不停跳冠状动脉旁路移植术(OPCAB)治疗冠状动脉左主干(LMCA)重度狭窄的临床疗效。方法回顾性分析LMCA重度狭窄行冠状动脉旁路移植术(CABG)患者163例临床资料,其中96例实施OPCAB(OPCAB组),67例实施常规体外循环冠状动脉旁路移植术(CCAB组)。结果 OPCAB组冠脉造影-手术间隔时间、术后呼吸机使用时间、正性肌力药物使用比例均明显少于CCAB组,急诊比例、术后24-h引流量高于CCAB组。结论 OPCAB治疗LMCA重度狭窄是安全有效的。Objective To summarize the efficiency of off-pump coronary bypass grafting （OPCAB） in the treatment of severe left main coronary artery（LMCA） stenosis. Methods Data of 163 patients with severe LMCA stenosis underwent coronary artery bypass grafting（CABG） were retrospectively analyzed,of whom 96 eases（group A） were operated without eardiopulmonary bypass （CPB） and 67 eases（group B） under conventional CPB. Results Compared to group B, the interval between angiography and surgery, the time of postoperative mechanical ventilation and the use of inotropies were less, but the percentage of emergent surgery and postoperative 24-h drainage were higher in group A. Conclusion OPCAB is safe and feasible in the treatment of severe LMCA stenosis.

关 键 词：非体外循环不停跳冠状动脉旁路移植术 左主干冠状动脉狭窄 

分 类 号：R654[医药卫生—外科学]