非体外循环下冠状动脉旁路移植术临床分析  

Clinical analysis of coronary artery bypass grafting under off-pump coronary artery bypass grafting

作　　者：陈一欢[1] 沈振亚[1] 余云生[1] 叶文学[1] 黄浩岳[1] Chen Yi-huan;Shen Zhen-ya;Yu Yun-sheng;Ye Wen-xue;Huang Hao-yue(Department of Cardiovascular Surgery, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215000, China)

机构地区：[1]苏州大学附属第一医院心脏大血管外科,江苏苏州215000

出　　处：《当代医学》2017年第33期38-40,共3页Contemporary Medicine

摘　　要：目的就非体外循环下冠状动脉旁路移植术(简称非体外下冠脉搭桥术,OPCABG)的临床经验和疗效予以总结分析。方法选取近年来在本院接受OPCABG的30例冠心病患者为研究对象,回顾性分析其临床资料。结果所有患者均手术成功,1例患者中途改体外循环下进行,另29例患者的手术治疗均在全麻非体外循环下进行,其中进行搭桥1~5支(平均3.2),手术时间在2~6 h左右(平均3.3±1.2)h。通过对患者进行随访发现,在接受OPCABG治疗后,患者心绞痛的发生症状改善明显。结论在治疗冠心病患者过程中,采取非体外循环下冠状动脉搭桥术(OPCABG),有助于使患者的心脏功能得到有效保护,减少一些呼吸神经系统与心律失常等术后并发症的发生,值得在临床上推广使用。Objective To analyze the clinical experience and curative effect of off-pump coronary artery bypass grafting(OPCABG).Methods Thirty patients with coronary heart disease who underwent OPCABG in our hospital were selected as study subjects.The clinical data were analyzed retrospectively.Results All patients underwent successful operation.One patient underwent bypass surgery.Another29patients underwent surgical treatment under general anesthesia and noncardiopulmonary bypass.Among them,1-5were bridged(mean3.2)and the operation time was2-6h or so(average3.3±1.2)h.Through follow-up of patients we found that after OPCABG treatment,patients with angina symptoms improved significantly.Conclusion Off-pump coronary artery bypass grafting in the treatment of patients with coronary heart disease can help to protect the heart function after the operation,reduce the occurrence of some respiratory neurological and arrhythmia and other complications.It is worth to further promote the clinical use.

关 键 词：非体外循环 冠状动脉旁路移植术 冠心病 

分 类 号：R654.2[医药卫生—外科学]