| 摘要: |
| ［摘要］ 目的 总结分析非体外循环冠状动脉搭桥术（OPCABG）围手术期的并发症。方法 2001-06～2009-05间121例患者在非体外循环下行冠状动脉搭桥术，其中A组（63例）采用先吻合桥血管近端“序贯式”冠状动脉搭桥方法，B组（58例）采用先吻合远端靶血管端的方法。结果 两组方法围术期出现各类并发症共49例次，其中A组术后并发症少于B组，全组痊愈出院118例，死亡3例，死因分别为围术期心梗1例，急性肾衰1例，胸骨-纵隔严重感染1例。结论 非体外循环冠状动脉搭桥术可发生术后心律失常等相关并发症，加强围手术期的处理，可降低并发症的发生率和病死率。 |
| 关键词: 非体外循环 冠状动脉搭桥 围术期处理 |
| DOI：10.3969/j.issn.1674-3806.2009.12.09 |
| 分类号:R 654.2 |
| 基金项目:广西卫生厅重点基金课题（桂卫重200606） |
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| Analysis of perioperative complication of off-pump coronary artery bypass grafting |
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WEN Zhao-ke, LIN Hui, LI Xiang-wei, et al.
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Department of Cardiothoracic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To summarize the perioperative complication and its treatment of off-pump coronary artery bypass grafting (OPCABG). Methods From June 2001 to May 2009, among 121 patients with OPCABG., 63 (A group) patients were treated by the first use of grafts with sequential proximal-type methods of coronary artery bypass graft(CABG);Another 58 (B group) patients were treated by the first coronary artery target vessel with a remote client approach.Results In two groups the perioperative complication was found in 49 patients. The complication rate in A group was lower than that in B group.Of 121 patients, 118 patients were cured and 3 died. The cause of death was perioperative myocardial infarction in 1 case; Acute renal failure in 1 case; Sternum-mediastinal severe infection in 1 case.Conclusion In OPCABG, the occurrence of postoperative arrhythmia is still inevitable. Strengthening the perioperative management can reduce the complication. |
| Key words: Off-pump Coronary artery bypass grafting Perioperative treatment |
