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冠状动脉旁路移植术286例疗效分析 被引量:1

Clinical analysis of coronary artery bypass grafting:a report of 286 consecutive cases
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摘要 目的分析冠状动脉旁路移植(CABG)手术方法及初步临床结果。方法自2002年6月至2005年12月共完成286例CABG,其中左主干病变28例,单支、双支和三支病变分别为10例、98例和178例。283例经正中切口,3例经左前外切口行CABG,人均旁路移植3.3支(1~5支)。应用左乳内动脉284例,余为大隐静脉。结果全组住院死亡3例,平均呼吸机辅助时间10h,二次开胸3例。结论冠状动脉旁路移植术对冠状动脉疾病患者是一种安全、有效的治疗方法。 Objective To evaluate the technique of coronary bypass grafting and its early result in 286 consecutive patients. Methods Two hundred and eighty-six patients from June 2002 to December 2005 underwent coronary artery bypass grafting. The average unmber of grafts was 3.3. Two hundred and eighty-three patients had left internal mammary artery bypassed to the left anterior descending branch. Other grafts were from saphenous veins. Results All patiens were clinical recovery. Respirator assisted within 0- 28 hours(average 10). Conclusion Coronary artery bypass can be safely done with low mortality excellent surgical results even in patients with multivessel coronary artery disease.
出处 《中国基层医药》 CAS 2006年第6期912-913,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 冠状动脉疾病 心肌血管重建术 Coronary disease Myocardial revascularization
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