改良心肌灌注方法在重症冠心病搭桥术中的应用
摘要
严重左心功能低下[左心室射血分数(LVEF)〈0.30]是冠状动脉搭桥术(CABG)的独立危险因素,并显著影响围手术期病死率及远期效果。2007年8月至2010年8月我院采用改良心肌灌注方法共进行重症冠心病搭桥手术53例,效果满意,现就其临床效果报告如下。
参考文献6
-
1BalakrishnanKR,Thanikachalam S,Murthy JS, et al. Severe coronary artery disease with coarctation of the aorta~role of off-pump coronary artery bypass grafting. Ann Thorac Surg, 2005,79(1):343-345.
-
2肖明第,肖亦敏,袁忠祥,卢成宝,吕志前,徐根兴.1405例冠状动脉旁路移植、激光心肌血运重建术的临床分析[J].中国胸心血管外科临床杂志,2006,13(5):289-293. 被引量:3
-
3Elerieriades JA, Zaret BL. Coronary bypass. Philadelphia: Lip-pincott-Raven Publisher, 1998:409-419.
-
4Konomidis JS,Yau TM ,Weisel RD,et al. Optimal flow rates for retrograde warm cardioplegia. J Thorae Cardiovasc Surg , 1994 ,107:510-519.
-
5Prasongsukarn K,Borger MA. Reducing cerebral emboli dur ing eardiopulmonary bypass. Semin Cardiothorac Vasc Anesth, 2005,9(2) : 153-158.
-
6Honen J, Salmenpera M. Brain injury after adult cardiac sur gery. Acta Anaesthesiol Stand, 2004,48 (1) : 4 -19.
二级参考文献17
-
1Lewis ME, Pitt MP, Bonser RS, et al. Coronary artery surgery for ischaemic heart failure: the surgeon's view. Heart Fail Rev,2003, 8(2):175-179.
-
2Murphy GJ, Ascione R, Angelini GD. Coronary artery bypass grafting on the beating heart: surgical revascularization for the next decade? Eur Heart J, 2004,25(23):2077-2085.
-
3Onorati F, Olivito S, Mastroroberto P, et al. Perioperative patency of coronary artery bypass grafting is not influenced by off-pump technique. Ann Thorac Surg, 2005, 80 (6): 2132-2140.
-
4Caputo M, Reeves BC, Rajkaruna C, et al. Incomplete revascularization during OPCAB surgery is associated with reduced mid-term event-free survival. Ann Thorac Surg, 2005,80(6): 2141-2147.
-
5Guidelines and indications for coronary artery bypass graft surgery. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures(Subcommittee on Coronary Artery Bypass Graft Surgery). J Am Coil Cardiol, 1991, 17(3): 543-589.
-
6Allen KB, Dowling RD, Angell WW, et al. Transmyocardial revascularization: 5-year follow-up of a prospective, randomized muhicenter trial. Ann Thorac Surg, 2004,77 (4) : 1228-1234.
-
7Allen KB, Dowling RD, Schuch DR, et al, Adjunctive transmyocardial revascularization: five year follow-up of a prospective, randomized trial. Ann Thorac Surg, 2004, 28(2):458-465.
-
8Yamamuro M, Lytle BW, Sapp SK, et al. Risk factors and outcomes after coronary reoperation in 739 elderly patients. Ann Thorac Surg, 2000, 69(2):464-474.
-
9Peterson ED, Cowper PA, Jollis JG, et al. Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation, 1995,92(gSuppl): Ⅱ85-Ⅱ91.
-
10Calafiore AM, Di Mauro M, Gallina S, et al. Mitral valve surgery for chronic ischemic mitral regurgitation. Ann Thorac Surg, 2004, 77(6): 1989-1997.
共引文献2
-
1肖明第,毛建强.重症冠心病的外科治疗[J].中国胸心血管外科临床杂志,2007,14(6):401-403. 被引量:7
-
2刘盛,胡盛寿,王巍,许建屏,宋云虎,孙寒松,郑哲,高华炜,袁昕.冠状动脉旁路移植术治疗缺血性心功能不全患者的远期疗效[J].中国胸心血管外科临床杂志,2010,17(3):188-191. 被引量:10
-
1贺贵宝,庾华东,陶凉,阿哈提.146例重症冠心病的体外循环下冠状动脉旁路移植术[J].中国民康医学,2012,24(19):2349-2351.
-
2陈良万,陈道中,林峰,王齐敏,黄忠耀,邱罕凡,曹华,戴小福,黄雪珊,吴锡阶.重症冠心病的外科治疗[J].中华医学杂志,2004,84(19):1601-1602. 被引量:3
-
3庾华东,陶凉,朱晓东,陈绪发,尚玉强.189例重症冠心病的冠状动脉旁路移植术临床分析[J].心血管康复医学杂志,2003,12(3):231-233. 被引量:1
-
4董海芳.冠脉搭桥术后患者行食管癌切除的护理[J].医学信息,2010,23(22):4400-4400.
-
5陈鹏.非体外循环冠状动脉旁路移植术治疗重症冠心病的临床分析[J].中国农村卫生,2015,7(3X):6-7.
-
6黄浩,高伟,冯新海,席耀民.体外循环不停跳冠脉搭桥术治疗重症冠心病的应用[J].医学信息,2010,23(15):2865-2866. 被引量:2
-
7魏长江,沈振亚,叶文学,华菲.重症冠心病63例行OPCABG术后并发症的观察分析[J].中国误诊学杂志,2009,9(16):3943-3944.
-
8李晓慧.冠状动脉旁路移植术治疗重症冠心病临床分析[J].中国实用医药,2015,10(8):234-235. 被引量:1
-
9李伟栋,韩威力,陈雪峰,倪一鸣.冠状动脉旁路移植术治疗重症冠心病35例[J].浙江医学,2006,28(6):459-461.
-
10张贵玲,张莎,董宏捷,狄海冰,刘红梅.重症冠心病的术后监护40例[J].河北医药,2007,29(5):521-522.