摘要
目的：探讨非体外循环冠状动脉搭桥术（OPCABG）42例的临床措施.方法：体外循环心脏跳动下完成冠状动脉旁路移植术42例。均在全麻经胸正中切口，采用左乳内动脉和/或大隐静脉作为血管移植材料,心表特殊固定牵开器用于暴露心脏后壁冠状动脉.平均手术时间213min。8例搭桥2根,27例搭桥3根,7例搭桥4根（2.98根/例）,平均远端吻合口数目为（3.2±0.6）个.结果：全组无手术死亡,无术后心肌梗死发生,手术后所有患者康复出院.术后随访6～48个月,所有患者无心脏事件发生.结论;对有适应证的患者,OPCABG是一项安全有效的治疗方法，近期效果满意.
Objective： To explore the clinical measure of off-pump coronary artery bypass grafting （OPCABG）. Methods： OPCABG were performed via a standard midline sternotomy incision under general anesthesia in 42 cases. All patients had left internal mammary artery or saphenous vein served as grafted materials. Stabilizers and maneuvers were used to expose posterior coronary branches. The average operation time was 213 minutes. 8 cases were bypassed with 2 grafts, 25 cases with 3 and 9 cases with 4（2.08/person）. The mean number of distal anastomose was 3.2±0.6. Results： There were no operative death and no postoperative myocardial infarction, all patients were discharged uneventfully. Follow-up from 6～48 months, no cardiac events occurred. Conclusion： OPCABG is a safe and feasible treatment in selected patients, and early result is satisfactory.
出处
《华夏医学》
CAS
2006年第3期399-401,共3页
Acta Medicinae Sinica
