摘要
目的总结左心室功能不全（LV〈0.4）冠心病患者外科治疗的经验并评价效果。方法回顾分析28例因慢性心肌缺血或心肌梗死而致左心室功能不全的患者在本院行冠脉搭桥术的相关资料。结果患者年龄41～80岁,男20例、女8例。LVEF为0.19～0.39,其中0.30～0.40间22例、小于0.30 6例。冠脉造影均为3支病变,其中9例合并左主干病变,在体外循环下行CABG术,共用内乳动脉10支、桡动脉2支、大隐静脉78支,人均3.2支。手术后死亡2例,其他均恢复良好,随访14～50个月,生活质量均较前改善。结论左心室功能不全的冠心病患者行CABG手术可以取得较为满意的手术效果,手术能够改善患者的生活质量。准确的病例评价、术中充分再血管化及良好的心肌保护、正确的围手术期处理是手术成功的关键。
Objective To summarize surgical outcome of patients undergone coronary- artery bypass grafting with left ventricular dysfunction. Methods Retrospectively analyzing the peri-operative data of 28 cases suffering ongoing my- ocardial ischemia or mycardial infarction with left ventricular dysfunction. Results The age of patients including 20 males and 8 females ranges from 41 to 80, left ventricular ejection fraction（LVEF） ranges from 0.19 to 0.39. The average grafts for every case was 3.2/patient including 10 LIMA, 2 radial artery and 78 SV. There was two patient deaths. The post-operative follow-up lasted 14 - 50 months and patients life quality improved markedly. Conclusions Myocardial revascularization in patients with left ventricular dysfunction leads to a good outcome and improves life quality of patients. The key to successful operation is proper preoperative evaluation, fully revascularization, satisfactory myocardial preservation and appropriate management.
出处
《中国医刊》
CAS
2008年第10期33-34,共2页
Chinese Journal of Medicine
关键词
左心室功能不全
冠心病
冠状动脉旁路移植术
left ventricular dysfunction
coronary artery disease
coronary artery bypass grafting
