急诊冠状动脉旁路移植术21例分析
徐利军;朱学海;魏翔;
摘要(Abstract)：
目的:探讨急诊冠状动脉旁路移植术(ECABG)在急性冠状动脉缺血和损伤中的治疗效果。方法:21例急性冠脉梗塞患者,采用体外循环和非体外循环下ECABG治疗,观察循环阻断时间、体外循环时间、手术时间、血管移植数、并发症和死亡率,随访3个月评价心功能。结果:体外循环平均时间(90±20)min,循环阻断平均时间(65±19)min两种术式,平均手术时间(180±25)min,平均移植血管数(3±1.1)支;术后发生并发症9例,主要是低心排综合征、室颤、脑梗及肺部感染,18例患者恢复,3例死亡;随访3月心功能Ⅱ级16例,Ⅲ级2例。结论:ECABG是挽救不能控制的急性心肌缺血的有效方法。
关键词(KeyWords)：
冠心病;心肌梗死;冠脉损伤;急诊冠状动脉旁路移植术;体外循环
基金项目(Foundation):
作者(Author):
徐利军;朱学海;魏翔;
Email:
DOI: 10.19367/j.cnki.1000-2707.2013.05.031
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