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高龄患者行心脏不停跳冠状动脉旁路移植术的早期疗效分析 被引量：4

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摘要 目的:总结高龄患者行心脏不停跳冠状动脉旁路移植术(Beating heart coronary artery bypass grafting,BH-CABG)早期临床经验,探讨应用体外循环辅助对术后效果的影响。方法:回顾性分析沈阳军区总医院心血管外科行BH-CABG的77例高龄患者(≥75岁)的病历资料,根据是否应用体外循环辅助分为体外循环辅助(pump-assisted)组28例与非体外循环(offpump)组49例,对其围手术期临床特点进行分析。结果:所有患者均顺利完成手术,血管桥平均(2.70±0.54)支,住院死亡5例(6.5%),其余患者均康复出院。off-pump组与pump-assisted组术后并发症比较差异无统计学意义(P>0.05),pump-assisted组中有4例因术中循环不平稳,由off-pump转行pump-assisted。结论:高龄患者行CABG手术死亡率高,应用BH-CABG能够获得可接受的早期疗效,对于心脏较大及术中血流动力学指标不稳定的患者,应用体外循环辅助的心脏不停跳冠状动脉旁路移植术(Pump-assisted BH-CABG,PABH-CABG)更安全。
作者 刘申 赵伟霞 王辉山 姜辉 陶登顺
机构地区 山东省威海市文登中心医院心胸外科 中国人民解放军沈阳军区总医院
出处 《吉林医学》 CAS 2014年第25期5658-5660,共3页 Jilin Medical Journal
关键词 高龄 体外循环 心脏不停跳冠状动脉旁路移植术
分类号 R654.2 [医药卫生—外科学]
  • 相关文献

参考文献9

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二级参考文献3

共引文献4

同被引文献51

  • 1杨莉莉,潘楚梅,王京,刘英.非体外循环冠状动脉旁路移植术后护理[J].当代护士（中旬刊）,2006,13(6):17-19. 被引量：2
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二级引证文献26

吉林医学
2014年 第25期

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