冠状动脉搭桥术及附加手术21例

Experience with coronary artery bypass grafting and concomitant procedures in 21 cases

目的 总结我科冠状动脉搭桥术(CABG)及附加手术的经验，介绍围术期的处理特点。方法 对1998年12月～2002年12月行CABG及附加手术的21例患者的临床资料进行总结分析。结果 早期死亡2例，系急性心肌梗死后急症搭桥者。附加手术的病例全部存活。随访18例，其中心绞痛症状消失17例，残余心绞痛症状1例。结论 尽管瓣膜置换等附加手术延长了CABG的手术时间，但加强围术期管理，完全心肌血运重建，仍可取得较好结果。

Objective To review our experience with coronary artery bypass grafting (CABG) a nd its concomitant procedures. Methods From December, 1998 to December, 2002, 2 1 patients underwent CABG and their clinical data were analyzed. Re-sults Ninet een patients were discharged uneventfully after the procedure. Early death occur red in 2 patients who received e-mergency operation after acute myocardial infar ction. Among the 18 patients followed up, angina was eliminated in all but one patient. Conclusion Although the concomitant procedures such as valve replaceme nt may prolong the operation time for CABG, good clinical outcome of the patien ts can still be expected by implementation of intensive perioperative management and complete myocardial revascularization.