非体外循环下多支冠状动脉病变的旁路移植术

Coronary Artery Bypass Grafting without Cardiopulmonary Bypass

目的 探讨非体外循环下多根冠状动脉旁路移植术的可行性和早期临床效果。方法 11例多支冠状动脉病变患者接受非体外循环多根旁路移植术 ,移植旁路数目为 2～ 5根 ,平均 3.3根。结果 术中血流动力学稳定 ,术后拔除气管插管早 ,胸腔引流量和输血量少 ,恢复快。 1例 78岁危重患者于术后第 16天并发感染、急性肾衰而死亡 ,其余患者均痊愈出院。随访 1～ 4个月 ,均心绞痛症状消失、心功能改善。结论 非体外循环下进行多根冠状动脉旁路移植术是可行的 。

Objective:To demonstrate the feasibility and early result of coronary artery bypass grafting without cardiopulmonary bypass(off pump CABG).Methods:Off pump CABG were performed in 11 cases with multi vessels coronary disease The number of grafting for every patient was 2 to 5 grafts,averaged 3 3 grafts.Results:Hemodynamics was stable during operation in all patients.All patients had shorter ventilation support,fewer drainage volume and banked blood.One 78 year old patient died of infection and acute renal failure on 16th post operative day.Others recovered well.Angina sympton disappeared and heart function improved.Conclusion:Patients with multi vessels coronary disease may safely undergo off pump CABG.