摘要
１９９３年４月～１９９５年１２月，作者连续为１１０例患者施行了冠状动脉旁路术。患者多数为三支以上病变或左主干有５０％以上狭窄，其中单纯行旁路术９２例，同时行瓣膜置换或成形手术８例，室壁瘤切除术１０例，除１例死于急性肾功能衰竭外均痊愈出院，死亡率０．９％，近期疗效满意。作者强调在游离乳内动脉时要注意保护，吻合要细致，避免扭曲和有张力，冠状动脉旁路术的关键是吻合口要够大又不出血，充分恢复冠状动脉供血。要重视心肌保护和麻醉及体外循环的配合。
Coronaryarterybypassgrafting(CABG)operationswereperformedin110consecutivepatients.Mostofthemhadextensivetriple-vesseldiseaseorleftmaincoronaryarterydisease.Internalmamnaryartery(IMA)wasusedasagraftin65patients.Valvularreplacementorvalvuloplastywereperformedin8patientsandventricularaneurysmectomyin10patientsincludingpostinfarctionVSDre-pairedin1patientsimutaneously.Anginapectoriswasrelievedinalpatientsexceptonediedfromacuterenalfailurepostoperatively.TheIMAcouldbeusedsafelyandeficientlyinnearlyalpatients.Usingveryfinetechnique,wesuggestedgoodexposure,andhemostasistohandleIMA.Thekeyfactorofsuc-cesinCABGoperationwascompleterevascularizationbypasingalsignificantstenosislargerthan1mmdiameterinalcoronaryarterybranches.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第11期670-672,共3页
Chinese Journal of Surgery
