张海瑞 宋伟 阮新民 罗征祥 澳门镜湖医院 岭南心血管病杂志 2000 0 6 1


    关键词：冠状动脉旁路移植术；体外循环；内乳动脉；不停跳心脏搭桥术 期刊 lnxxgbzz 0 7-9 论著 fur -->


    

【摘要】 目的 本文报道59例冠状动脉旁路移植(搭桥)术，并进行了临床分析。方法 1996年前8例病例采用低温间断晶体停跳液灌注技术，于1996年起全部采用了新的体外循环技术——低温一次性含血停跳液顺行灌注加连续性逆行灌注晶体停跳液。结果 严重并发症6例，住院死亡率1.7%。结论 就①体外循环技术；②高龄病人接受冠状动脉旁路移植术；③搭桥术中使用内乳动脉；④在低心排综合征中使用IABP；⑤不停跳心脏搭桥术及双侧内乳动脉的应用等问题进行了讨论。

Coronary artery bypass grafting: A clinical analysis of 59 cases

Cheung Hoisui, Song Wei, Ruan Xinmin, et al. Thoracic-Cardiovascular Department, Kiang Wu Hospital, Macau

【 Abstract 】 Objective Clinical analysis of 59 cases of coronary artery bypass grafting had been presented in this article. Method Before 1996,hypothermic intermittent crystalloid cardioplegia infusion technique had been used. After 1996, a new cardiopulmonary bypass technique was used and it was hypothermic one-time antegrade blood cardioplegia infusion plus continuous retrograde crystalloid cardioplegia infusion technique. Result Severe operative complications were found in 6 cases. The hospital mortality was 1.7%. Conclusions ① Technique of cardiopulmonary bypass; ② CABG in elderly patients; ③ Using internal mammary artery in CABG; ④ Application of IABP in low cardiac output syndrome; ⑤ Application of “ Off-Pump technique ” and bilateral mammary artery in CABG.

     【 Key words 】 Coronary artery bypass grafting Cardiopulmonary bypass technique Internal mammary artery “ Off-Pump ” CABG

自Kolesov^[1] 等人首先报道搭桥术获得成功后 ......

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