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冠状动脉旁路移植术治疗左主干分叉病变 被引量：3

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摘要 目的探讨冠状动脉左主干分叉病变的外科治疗方法,总结其临床经验。方法1999年3月至2008年4月我院共收治29例冠状动脉左主干分叉病变患者,在体外循环心脏不停跳下行冠状动脉旁路移植术(CABG),观察体外循环时间、术后呼吸机辅助时间、ICU时间、住院时间、围术期以及随访情况。结果体外循环时间为48.2±15.5min,术后呼吸机辅助时间14.2±4.6h,住ICU时间3.3±0.8d,住院时间18.0±2.7d,无围术期心肌梗死发生。本组患者随访7～98个月(29.0±19.2个月),25例心绞痛症状完全消失,2例心绞痛症状缓解,3例于术后3年、4年和8年分别死于脑血管病变、心脏骤停及肺癌。超声心动图检查提示:左心室收缩功能获得不同程度的改善。结论冠状动脉左主干分叉病变应用体外循环心脏不停跳CABG可以取得良好的治疗效果。
作者 师恩祎 谷天祥 喻磊
机构地区 中国医科大学附属第一医院心脏外科
出处 《中国胸心血管外科临床杂志》 CAS 2009年第4期317-319,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词 左主干分叉病变 体外循环 心脏不停跳 冠状动脉旁路移植术
分类号 R654.2 [医药卫生—外科学]
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参考文献12

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同被引文献18

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  • 10谷天祥,喻磊,姜春力,章志伟,修宗谊,赵晔,王春.左主干完全闭塞的外科治疗[J].中国胸心血管外科临床杂志,2008,15(3):225-227. 被引量：3

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中国胸心血管外科临床杂志
2009年 第4期

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