非体外循环下冠状动脉搭桥术132例分析

目的:探讨非体外循环下冠状动脉搭桥术的手术决策与手术效果的相关性。方法:对132例非体外循环下冠状动脉搭桥术患者的手术效果进行分析。结果:本组132例患者搭桥数目为1～5条不等,平均2.51±0.90条,每个吻合口平均吻合时间为10min,全组有7人因术中血流动力学不稳定而转行体外循环手术。死亡原因:围术期心肌梗死,低心排2例,消化道应激性溃疡大出血,多脏器功能衰竭1例,恶性心律失常、室颤抢救无效1例。结论:非体外循环下冠状动脉搭桥术是一种较新的手术方式,但不一定适合每个搭桥患者。

132 cases analysis of off pump coronary artery by puss grafting

Objective:To investigate the effectiveness of relevance between surgical decision-making and surgical procedures option in off-pump coronary artery bypass graft surgery.Methods:132 cases of off-pump coronary artery bypass graft surgeries were reviewed and analyzed.Results:The number of bypass grafting ranges from 1~5,2.51±0.90 on average.The average time is about 10 minutes in finishing each connecting orifices.Seven patients of all with hemodynamic instability were switched to on-pump surgery during the operation.The causes of death include perioperative myocardial infarction and low cardiac output in 2 patients;emergency gastrointestinal bleeding ulcers and multiple organ function failure in 1 case;malignant arrhythmia and ventricular fibrillation in 1 patient.Conclusion:Off-pump coronary artery bypass grafting surgery is a new approach,it should not be said is the best or the only surgery,the surgical method choice should be based on whether the patient is suitable for on-pump bypass surgery or off-pump.According to certain principles of choice and accurate application of this procedure the therapeutic effect of bypass surgery could be raised to a maximum level.