摘要
目的分析冠状动脉旁路移植术(CABG)后低氧血症的相关因素。方法2006年1月至2009年1月实施CABG318例,术后发生低氧血症36例,对低氧血症患者年龄、吸烟史、术前有无肺部疾病、手术前后射血分数、是否体外循环、体外循环时间及主动脉阻断时间、是否急症手术、是否合并肺部感染等与非低氧血症患者组进行相关性分析。结果术后发生低氧血症36例,发生率为11.4%其中轻度低氧血症19例(52.8%),中度6例(16.7%),重度1例(2.8%)。低氧血症的发生与年龄、有吸烟史、术前有肺部疾病、体外循环时间、急症手术、术后心功能,合并肺部感染等因素密切相关,且1例因严重低心排死亡。结论CABG术后低氧血症在高龄、有吸烟史、术前有肺部疾病、体外循环时间长、急症手术、术后心功能差,合并肺部感染等患者容易发生。
Objective To analyze the relative factors of hypoxemia in patients after coronary artery bypass grafting.Methods From January 2006 to January 2009,36 patients suffered from post-operative hypoxemia among the 318 patients investigated.The relative-analysis of age,smoke,pulmonary disease,peri-operative LVEF, CPB and CPB time,ACC time,emergency operation and post-operative pneumonia were reviewed.Results Hypoxemia happened in 35 cases and the incidence of hypoxemia was 11.4%.The risk factors of hypoxemia were ...
出处
《中外医疗》
2009年第29期11-12,共2页
China & Foreign Medical Treatment
