70例冠状动脉旁路移植术临床分析

目的 比较分析体外循环冠状动脉旁路移植术和非体外循环冠状动脉旁路移植术的临床效果.方法 回顾2002年1月-2009年2月间我院行冠状动脉旁路移植术70例的临床资料,依据术中采用不同的手术方式分为体外循环组和非体外循环组.并对两组患者的术后临床资料、术后并发症发生情况进行分析.结果 术后非体外循环组发生并发症1例,体外循环组6例;非体外循环组住院死亡1例,体外循环组死亡3例.结论 在多支病变中,非体外循环冠状动脉旁路移植术和体外循环冠状动脉旁路移植术在再血管化的应用上无差别;非体外循环冠状动脉旁路移植术后的死亡率和并发症发生率比体外循环冠状动脉旁路移植术患者低,但是合并瓣膜病或严重的3支血管病变、左主干病变、室壁瘤形成的患者更适宜行体外循环冠状动脉旁路移植术,非体外循环冠状动脉旁路移植术不能取代体外循环冠状动脉旁路移植术.

Clinical analysis of 70 cases coronary artery bypass grafting

Objective Analyze clinical effect between on-pump cor-onary artery bypass grafting and off-pump coronary artery bypass grafting.Methods We collected clinical data of 70 cases coronary artery bypass grafting in our hospital from Jan.2002 to Feb.2009,they were divided into on-pump group and off-pump group,and we analyzed their postoperative data and postoperative complication.Results there were 1 case postoperative complication in off-pump group,and 6 case postoperative complication in on-pump group; 1 patient died in off-pump group,3 patients died in on-pump group.Conclusion In multi-vessel cases,there weren't difference bet-ween on-pump coronary artery bypass grafting and off-pump coronary artery bypass grafting in appliance of revesselization,postoperative morda-lity and complication were lower in off-pump coronary artery bypass grafting than in on-pump coronary artery bypass grafting,however,pa-tients with valve disease or severe 3-branch vessel disease or left major disease or ventricular wall anurhysm were more suitable to on-pump co-ronary artery bypass grafting,off-pump coronary artery bypass grafting can't replace on-pump coronary artery bypass grafting.