非体外循环冠状动脉搭桥术围术期并发症分析

目的总结分析非体外循环冠状动脉搭桥术（OPCABG）围手术期的并发症。方法2001-06—2009-05间121例患者在非体外循环下行冠状动脉搭桥术，其中A组（63例）采用先吻合桥血管近端“序贯式”冠状动脉搭桥方法，B组（58例）采用先吻合远端靶血管端的方法。结果两组方法围术期出现各类并发症共49例次，其中A组术后并发症少于B组，全组痊愈出院118例，死亡3例，死因分别为围术期心梗1例，急性肾衰1例，胸骨-纵隔严重感染1例。结论非体外循环冠状动脉搭桥术可发生术后心律失常等相关并发症，加强围手术期的处理，可降低并发症的发生率和病死率。

Analysis of perioperative complication of off-pump coronary artery bypass grafting

Objective To summarize the perioperative complication and its treatment of off-pump coronary artery bypass grafting （OPCABG）. Methods From June 2001 to May 2009,among 121 patients with OPCABG. ,63 （ A group） patients were treated by the first use of grafts with sequential proximal-type methods of coronary artery bypass graft（CABG） ;Another 58 （B group） patients were treated by the first coronary artery target vessel with a remote client approach. Results In two groups the perioperative complication was found in 49 patients. The complication rate in A group was lower than that in B group. Of 121 patients, 118 patients were cured and 3 died. The cause of death was perioperative myocardial infarction in 1 case; Acute renal failure in 1 case; Sternmn-mediastinal severe in- fection in 1 case. Conclusion In OPCABG,the occurrence of postoperative arrhythmia is still inevitable. Strengthening the perioperative management can reduce the complication.