摘要
目的总结和分析顺逆灌结合桥灌技术在重症冠心病搭桥手术中的临床应用。方法回顾分析了152例重症冠心病患者施行冠状动脉搭桥术的临床资料,所有手术均在体外循环下进行,术中均经冠状动脉顺灌加冠状静脉窦逆灌并结合桥血管灌注进行心肌保护。结果所有患者术中转流平稳,血流动力学稳定。术后5例出现低心排出量综合征,1例肾功能不全,2例低氧血症,经调整后均恢复,无死亡病例。结论在重症冠心病搭桥手术中,采用顺逆灌并结合桥灌技术具有良好的心肌保护效果,能够明显改善患者的预后。
Aim Summary and analysis of the value of anterograde-retrograde and selective bypass graft vessel perfusion technology in severe coronary artery bypass grafting( CABG). Methods Retrospective analysis was carried out for 152 cases of severe coronary artery disease in patients undergoing coronary artery bypass grafting. All operations were carried out under cardiopulmonary bypass( CPB). During operation,anterograde-retrograde and selective bypass graft vessel perfusion method were taken for myocardial protection. Results All patients stayed stable during CPB.After operation,5 patients had low cardiac output syndrome,1 patients had renal insufficiency,2 patients had hypoxemia,and they all recoverd after therapy,no patient died. Conclusion During CABG for severe coronary artery disease,anterograde-retrograde and selective bypass graft vessel perfusion technology have a good myocardial protection effect,and can significantly improve the prognosis of patients.
出处
《中国动脉硬化杂志》
CAS
北大核心
2015年第1期87-89,共3页
Chinese Journal of Arteriosclerosis
基金
国家临床重点专科建设项目经费资助(2011)
河南省科技发展计划项目(132102310190)
关键词
体外循环
冠状动脉搭桥术
心肌保护
Cardiopulmonary Bypass
Coronary Artery Bypass Grafting
Myocardial Protection
