冠状动脉旁路移植术围术期的处理

Management in perioperative period of coronary artery bypass grafting

目的总结冠状动脉搭桥手术围术期的处理经验。方法采用连续心排血量仪、心电图和血压监测等手段及早发现低心排血量（低心排），使用各种血管活性药物及主动脉内球囊反搏治疗低心排。结果在３４例冠状动脉搭桥手术中，出现３例低心排，２例抢救成功，１例死亡，病死率为２．９％。结论控制好心率，祛除心律紊乱，采用连续心排血量仪监测及血生化指标监测是保证冠状动脉搭桥手术围术期成功的重要环节。

Objective To improve the successful rate of coronary artery bypass grafting (CABG). Methods Continued cardiac output instrument, electric cardiograph, blood pressure mornitor etc, were used in patients post CABG. Results In 34 cases, 3 cases suffered from low cardiac output syndrome. 2 were resuscitated by drugs and intraaortic balloon pump, and one died. The mortality was 2.9%. Conclusions Controlling the heart rate and rhythm, using CCO and mornitoring the blood sugar, urea nitrogen, creatinine etc, were the key points in the success of periCABG.