摘要
目的总结36例冠状动脉搭桥手术(CABG)患者的体外循环(CPB)管理经验。方法36例患者中,男28例,女8例,年龄(58.44±7.29)岁,体重(63.64±8.95)kg,平均CPB时间(135.28±38.74)min,平均阻断时间(79.36±26.04)min,术前均合并中、重度高血压。2例行主动脉瓣置换(AVR)加(CABG)术,5例行二尖瓣置换(MVR)加(CABG)术。采用中度低温CPB,中度血液稀释,冷、温血停搏液顺灌、逆灌、桥灌,取得较好心肌保护效果。结果33例患者开放升主动脉后心脏自动复跳;1例死于呼吸衰竭,其余均康复出院,无神经系统及其他并发症。结论合理的CPB管理是提高冠状动脉搭桥手术成功率的重要条件之一。
[Objective] To sum up the experience of cardiopulmonary bypass in coronary artery bypass graft in senile patients. [Methods] 36 senile patients underwent open heart surgery. Male in 28 cases and famale in 8 cases. The average time of CPB was （135.28±38.74） min, and the ischemia time was （79.36±26.04） min. 2 cases of CABG combined with aorticvalve replacement （AVR） and 5 cases of CABG combined with mitrial valve replacement （MVR）. The myocardial protection was used 4：1 blood cardioplegia antegrade or retrograde perfusion. [Results] One died of respiratory dysfunction. There was no complications. [Conclusion] The adequate managements of CPB is one of the key factors increasing the rate of success of CABG .
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第20期2516-2517,共2页
China Journal of Modern Medicine
关键词
冠状动咏搭桥术
体外循环
心肌保护
coronary artery bypass graft
cardiopulmonary bypass
myocardial protection
