冠状动脉重建术在冠状动脉左主干病变中的临床应用  

Clinical application of coronary arterial reconstruction operation in left main coronary arterial lesion

作　　者：宋来春[1] 聂林[1] 许铭[1] 方极辉[1] 陶超 李晓勇 陶恩德 陶凉[1] SONG Laichun;NIE Lin;XU Ming;FANG Jihui;TAO Chao;LI Xiaoyong;TAO Ende;TAO Liang(Department of Cardiac Surgery,Wuhan Asia Heart Hospital,Wuhan,Hubei 430022,China)

机构地区：[1]武汉亚洲心脏病医院心外科,430022

出　　处：《重庆医学》2020年第9期1417-1420,共4页Chongqing medicine

基　　金：湖北省武汉市卫生和计划生育委员会项目(WX16Z08,WX17D41);湖北省武汉市科技局项目(2016060101010036)。

摘　　要：目的探讨冠状动脉重建术在治疗冠状动脉左主干病变中的临床疗效。方法回顾性分析该院因冠状动脉左主干病变接受冠状动脉成形术治疗的8例患者的临床资料,总结其临床疗效。结果8例患者死亡1例,1例出现围术期心肌梗死,其余6例均无严重并发症发生。其中体外循环时间为(95.75±26.72)min,阻断时间为(69.37±17.23)min;术后呼吸机使用时间为(21.63±7.34)h,ICU停留时间为(3.22±1.86)d,术后患者心绞痛症状均完全消失,并参与正常活动。结论冠状动脉重建术可安全有效地应用于冠状动脉左主干病变的患者,并使患者获得较好的临床疗效。Objective To explore the clinical effect of left main coronary arterial reconstruction operation in treating left main coronary arterial lesion.Methods The clinical data in 8 patients with left main coronary arterial lesion underwent coronary arterial reconstruction in this hospital were retrospectively analyzed and their clinical treatment effects were summarized.Results Among 8 cases,1 case died,1 case appeared perioperative myocardial infarction,and other 6 cases had no serious complications.The cardiopulmonary bypass(CPB)time and aortic cross-clamp time were(95.75±26.72)min and(69.37±17.23)min respectively.The postoperative ventilator use time was(21.63±7.34)h and the ICU stay time was(3.22±1.86)d.The postoperative symptom of angina pectoris disappeared and all patients could exercise normally.Conclusion The coronary arterial reconstruction operation can be used in the patients with left main coronary arterial lesion safely and effectively,which makes the patients to obtain good clinical results.

关 键 词：冠状动脉左主干病变 血管成形术 临床应用 

分 类 号：R541.4[医药卫生—心血管疾病]