摘要
目的:总结我院急诊冠状动脉旁路移植术(E-CABG)病例的治疗经验。方法:回顾性分析2004年11月至2007年1月在我院进行的22例E-CABG术病例,3例仅有前降支病变的患者采用off-pump CABG术,其余19例采用on-pump CABG术,心肌保护方式采用顺灌结合经冠状静脉逆灌心肌保护方式,统计围手术期临床资料,并与同期择期手术组对照。结果:急诊手术组1例急性透壁性心肌梗死合并室间隔穿孔患者术后2d死于顽固性低心排出量综合征,严重并发症6例,择期手术组仅有2例严重并发症。结论:急诊冠状动脉搭桥术可以有效提高危重冠心病患者的生存率。
Objective:Introduce our experience of emergency coronary bypass grafting (E-CABG). Method: From November 2004 to January 2007 22 cases of E-CABG were performed in our hospital. The clinical data were compared with that of selected CABG group. Result:There is no signifieient difference between these two groups in motality. While severe complications happened more in E-CABG group. Conclusion: E-CABG can reduce the mobility of the patients with high-risk coronary artery diseases.
出处
《心肺血管病杂志》
CAS
2009年第1期18-20,共3页
Journal of Cardiovascular and Pulmonary Diseases
关键词
急诊
冠状动脉搭桥术
心脏外科手术
Emergency
Coronary artery bypass grafting
Cardiac surgical procedures