当今社会,无论是人们生活水平的提高还是医疗事业的发展,都促使更多的冠状动脉粥样硬化性心脏病患者选择手术来改善病情,而不少术前心脏功能不佳、冠状动脉状况不佳的患者,在手术后依然需要面对很多困难,这势必会影响到他们的生存率、...当今社会,无论是人们生活水平的提高还是医疗事业的发展,都促使更多的冠状动脉粥样硬化性心脏病患者选择手术来改善病情,而不少术前心脏功能不佳、冠状动脉状况不佳的患者,在手术后依然需要面对很多困难,这势必会影响到他们的生存率、生存质量。且术后病情危重的原因往往是急性肾功能不全、低氧血症、低心排综合征等严重并发症的出现,因此,冠脉搭桥手术后的治疗要点,往往侧重于对其并发症的防治,本文在大量阅读国内外文献资料的基础上,结合临床经验,就冠脉搭桥手术后并发症的诊断与治疗做了一定的探讨。In today’s society, both the improvement of people’s living standards and the development of med-ical career, prompted more coronary atherosclerotic heart disease patients to choose surgery to improve the condition, and many poor preoperative heart function, poor coronary condition pa-tients still need to face postoperative difficulties, it is bound to affect the survival rate, quality of life. And the cause of postoperative illness is often acute renal insufficiency, hypoxemia, low cardiac syndrome, therefore, postoperative treatment points, often focus on the prevention and treatment of its complications. This paper, on the basis of reading a large number of domestic and foreign lit-erature, combined with clinical experience of diagnosis and treatment of coronary bypass postop-erative complications to certain discussion.展开更多
文摘当今社会,无论是人们生活水平的提高还是医疗事业的发展,都促使更多的冠状动脉粥样硬化性心脏病患者选择手术来改善病情,而不少术前心脏功能不佳、冠状动脉状况不佳的患者,在手术后依然需要面对很多困难,这势必会影响到他们的生存率、生存质量。且术后病情危重的原因往往是急性肾功能不全、低氧血症、低心排综合征等严重并发症的出现,因此,冠脉搭桥手术后的治疗要点,往往侧重于对其并发症的防治,本文在大量阅读国内外文献资料的基础上,结合临床经验,就冠脉搭桥手术后并发症的诊断与治疗做了一定的探讨。In today’s society, both the improvement of people’s living standards and the development of med-ical career, prompted more coronary atherosclerotic heart disease patients to choose surgery to improve the condition, and many poor preoperative heart function, poor coronary condition pa-tients still need to face postoperative difficulties, it is bound to affect the survival rate, quality of life. And the cause of postoperative illness is often acute renal insufficiency, hypoxemia, low cardiac syndrome, therefore, postoperative treatment points, often focus on the prevention and treatment of its complications. This paper, on the basis of reading a large number of domestic and foreign lit-erature, combined with clinical experience of diagnosis and treatment of coronary bypass postop-erative complications to certain discussion.
