13例冠状动脉旁路术的临床分析

目的 报告13例冠状动脉旁路术的临床体会。方法 体外循环下手术9例。非体外循环心脏跳动下手术4例，其中3例同期行心肌激光血运重建术，单支病变2例、双支病变3例、三支病变7例、左主干病变1例。平均每例搭桥2.3支。结果 全组无手术死亡，术后心绞痛消失11例，减轻2例。结论 冠状动脉旁路术是安全的手术，非体外循环心脏跳动下冠状动脉旁路术可减少术后输血及并发症，患者术后恢复快。

Clinical analysis of coronary artery bypass graftin g in 13 patients

Objective Coronary artery bypass grafting (CABG)in 13 patients was analyzed. Methods 9 patients were performed CABG with cardiopulmonary bypass, 4 patients undergone off pump coronary artery bypass(OPCAB). Among the 4 patients, 3 undergone transmyocardial laser revascularization concomitantly. 2 patients with single vessel disease, 3 with double vessel disease, 7 with triple vessel disease and 1 with left main coronary artery disease. The average bypass per patient was 2.3. Results All patients survived, 11 patients were angina free, 2 were angina relief. Conclusion CABG is a safe operation, OPCAB may reduce blood transfusion and complication, patients recover more quickly after OPCAB compared with those with CABG.