冠狀動脈旁路移植術59例臨床分析

Coronary Artery Bypass Grafting:A Clinical Analysis of 59 Cases

目的:本文報導59例冠狀動脈旁路移植(搭橋)術,並進行了臨床分析。方法:1996年前8例病例採用低溫間斷晶體停跳液灌注技術,於1996年起全部採用了新的體外循環技術--低溫1次性含血停跳液順行灌注加連績性逆行灌注晶體停跳液,結果:嚴重倂發症6例,住院病死率1.7%。討論:就(1)體外循環技術;(2)高齡病人接受冠狀動脈旁路移植術;(3)搭橋術中使用内乳動脈;(4)在低心排綜合症中使用IABP;(5)不停跳心臟搭橋術及雙側内乳動脈的應用等問題進行了討論。

Objective:Clinical analysis of 59 cases of coronary artery bypass grafting had been presented in this article.Methods:Before 1996,hypothermic intermittent crystalloid cardioplegia infusion technique had been used.After 1996,a new cardiopulmonary bypass technique was used and it was hypothermic one-time antegrade blood cardioplegia infusion plus continuous retrograde crystal-loid cardioplegia infusion technique.Results:Severe operative complications were found in 6 cases.The hospital mortality was 1.7%.Discussions:(1)Technique of cardiopulmonary bypass,(2)CABG in elderly patients,(3)using internal mammary artery in CABG,(4)Application of IABP in low cardiac output syndrome,(5)Application of"Off-Pump technique"and bilateral mammary artery in CABG.