非体外循环心脏不停跳冠状动脉搭桥术

Analysis of Bcating-Heurt and Off Pump Coronary Artery Bypass Grafting

目的 :探讨非体外循环心脏跳动中冠状动脉搭桥术的手术方法 ,术前术后处理及其优劣。方法 :1 999年 8月～ 2 0 0 0年 1月我们行非体外循环心脏跳动中冠状动脉搭桥术 1 2例 ,在准备好体外循环的同时 ,全麻下 ,使用心肌表面局部固定器及冠状动脉塞子 ,连续缝合搭桥共 3 5支 ,平均 2 9± 0 8支。结果 :全部手术成功 ,术后并发心律失常 3例 ,左全肺不张 1例 ,急性心包填塞、胸骨后广泛渗血各 1例 ,1 2例病人均痊愈出院。结论 :心脏不停跳冠状动脉旁路手术 ,开展冠心病人的手术范围 ,减少体外循环术后并发症。

Objective:To determine merits and demerit eithor operation methed or handle bcfore and after operation of beating-heart and off pump coronary artory bypass gratfing.Methods:12 cases beating-heart and off pump corcnary artery bypass grasfting were performed form August of 1999 to January of 2000.While had prepared cardiopulmonary bypass,We used local fixed appliance on myocardium and coronary artery cork to continuous suture bypass grafting 35 branchs,averages 2.9±0.8 line in total anaesthesia.Results:All operation achieved succcss,which be complicated by 3 cases arrhythia;I case left pulmonary atclcctasis;I case acute pericardium stuff and widespread ooze blood behind sternum.All 12 cases recover.Conclution:The beating-heart and off pump corenary artery bypass grafting are developing and/or enlargcing operative scope of coronary heart disease and reduceing complication of cardiopulmonoary bypass.