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急诊心脏不停跳冠状动脉搭桥术7例分析 被引量：2

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摘要 目的探讨急诊行心脏不停跳冠状动脉搭桥术(OPCAB)的手术指证及外科处理要点,提高手术成功率。方法分析7例急诊OPCAB患者病例资料。结果其中术前急性心肌梗死5例,不能完全控制的不稳定性心绞痛2例(其中1例术前行主动脉球囊反搏术),7例均选用左侧乳内动脉搭桥,均用TTFM流量计冠状动脉流量测定,测定桥血管流量。1例术后因心脏低心排出量综合征死亡,6例随访6-12月未见明显心绞痛及心肌缺血表现。结论急诊OPCAB是挽救不能控制的急性心绞痛及心肌缺血和急性心肌梗死的有效方法之一。
作者 郑叙锋 孔烨 谢静 王延震 梁天香 谢定雄
机构地区 兰州市第一人民医院甘肃省心血管病研究所心胸外科 上海瑞金医院心外科
出处 《军医进修学院学报》 CAS 2012年第2期163-164,共2页 Academic Journal of Pla Postgraduate Medical School
关键词 冠状动脉分流术 心肌梗死 冠状动脉旁路移植术 非体外循环
分类号 R654.33 [医药卫生—外科学]
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参考文献9

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二级参考文献39

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共引文献39

同被引文献15

  • 1李炯,谢定雄,王延震,黄方炯,甘义荣,梁天香.微创小切口冠状动脉旁路移植术与冠状动脉介入治疗结合治疗冠心病[J].兰州大学学报（医学版）,2013,39(4):51-54. 被引量：8
  • 2何松坚,谭宁,何谊婷,刘远辉,李华龙.冠状动脉杂交术治疗冠状动脉多支病变的中远期临床疗效及安全性[J].中国动脉硬化杂志,2015,23(2):165-170. 被引量：11
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引证文献2

二级引证文献6

军医进修学院学报
2012年 第2期

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