摘要
目的 探讨 70岁以上老年病人非体外循环冠状动脉旁路移植术 (OPCAB)的疗效。方法 比较 78例 70岁以上OPCAB和 32例 70岁以上常规体外循环冠状动脉旁路移植术 (CCABG)的临床资料。结果 两组术后桥通畅率均为 10 0 % ,OPCAB和CCABG两组平均住院时间 (9 2 5± 4 0 3)d对(13 18± 7 5 4)d ,平均ICU时间 (2 4 0± 8 5 )h对 (38 5± 2 5 5 )h ,房颤发生率为 8%对 15 %。结论 老年病人有选择的施行OPCAB是一种合理和安全的术式 ,如果可能的话应尽量考虑采用此术式。
Objective: Off pump coronary artery bypass((OPCAB) has been become an accepted method of myocardial revascularization by reducing the perioperative morbidity and mortality related to cardiopulmonary bypass(CPB). However, the effiency of OPCAB has not been well established in the elderly patients. The aim of this study was to compare the outcomes of off pump versus on pump CABG. Methods: From 1998 to 2001, CABG was performed in 70 patients more than 70 years of age, including 78 without CPB (OPCAB) and 32 with CPB (on pump CABG). The outcomes were compared between two groups. Results: The mean hospital stay was (9 25±4 03) days for OPCAB group and (13 18±7 54) days for on pump CABG group (P<0 01). Average ICU stay was (24 0±8 5) hours for OPCAB group versus (38 5±25 5) hours for on pump CABG group(P<0 05).Atrial fibrillation occurred in 8% of OPCAB group and 15% of on pump CABG patients (P<0 05). Patency rate in both group were 100%. Conclusion: The results of this study suggest that OPCAB is a safe and effient method of myocardial revascularization in the elderly patients with lower morbidity and cost.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2002年第3期150-152,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
