摘要
目的总结70岁以上冠心病患者非体外循环下冠状动脉旁路移植手术(OPCAB)的疗效和特点。方法比较52例OPCAB手术与28例常规体外循环下冠状动脉旁路移植手术(CCABG)的临床资料。结果OPCAB组与CCABG组术后并发症11.5%和25.1%,平均ICU时间(18.52±6.49)h和(31.63±15.26)h,平均住院时间(11.34±2.28)d和(15.71±3.97)d。结论OPCAB手术安全可行,更适合年老、合并多脏器功能障碍患者;具备独特的技术特点。
Objective To summarize the clinical experience in treatment elderly patients with off-pump coronary artery bypass （OPCAB）. Methods Coronary artery bypass grafting （CABG） was performed in 80 patients aged more than 70 years, 52 without CPB （OPCAB） and 28 with CPB （CCABG）. Clinical outcomes were compared between two groups. Results The postoperative complication was 11.5% for OPCAB group and 25.1% for on-pump CABG group （P〈0.01）. Average ICU stay was （18.52±6.49）h for OPCAB group versus （31.63±15.26）h for on-pump CABG group （P〈0.05）.The mean hospital stay was （11.34±2.28）d versus （15.71±3.97）d （P〈0.01）. Conclusion OPCAB surgery is safe and feasible procedure in the elderly patients.
出处
《中国心血管病研究》
CAS
2006年第3期180-182,共3页
Chinese Journal of Cardiovascular Research
关键词
冠状动脉分流术
冠状动脉疾病
体外循环
Coronary artery bypass
Coronary disease
Extracorporeal circulation
