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非体外循环下冠状动脉搭桥术的临床应用
引用本文:林刚,林巍,李美霞,李大奇,符洪犊,卢伟. 非体外循环下冠状动脉搭桥术的临床应用[J]. 海南医学院学报, 2003, 9(1): 13-15
作者姓名:林刚  林巍  李美霞  李大奇  符洪犊  卢伟
作者单位:海南省海口市人民医院心胸外科,海口,570208
摘    要:
目的:报告16例冠心病患者经胸部正中切口非体外循环下冠状动脉搭桥术。方法:手术在全麻常温下进行,经胸部正中切口。平均每例搭桥2.3支。结果:全组,手术死亡1例,余术后15例心功改善,14例心绞痛消失,1例残留心绞痛。结论:如病例选择适当,经胸部正中切口非体外循环冠状动脉搭桥术安全可行,并可减轻手术创伤,减少术后并发症,减少输血,缩短住院时间,降低医疗费用。

关 键 词:冠状动脉疾病  心脏外科手术  非体外循环
文章编号:1007-1237(2003)01-0013-03
修稿时间:2002-09-09

CLINICAL APPLICATION OF CORONARY ARTERY BYPASS GRAFTING UNDER OFF-PUMP
Lin Gang,Lin Wei,Li Meixia,et al.. CLINICAL APPLICATION OF CORONARY ARTERY BYPASS GRAFTING UNDER OFF-PUMP[J]. Journal of Hainan Medical College, 2003, 9(1): 13-15
Authors:Lin Gang  Lin Wei  Li Meixia  et al.
Abstract:
Objective:To report the clinical results of off-pump coronary artery bypass grafting for16patients suffering coronary artery diseases in our hospital from May2000to November2001.Method:off-pump coronary artery bypass grafting through a standard midline sternum incision was performed for16patients by general anesthesia.Results:The average bypass per patient was2.3.One patient died after the operation.15patients improved their heart function including14cases of angina symptom disappeared and one angina symptom residue.Conclusion:The operation of the coronary artery bypass grafting under off-pump through a standard midline sternum incision is safe and practical in selected patients and early result is satisfactory.
Keywords:Coronary artery disease  cardio-surgical operation  off-pump
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