冠状动脉旁路移植术治疗冠心病25例

目的 :回顾冠状动脉旁路移植术 ( CABG)治疗冠心病的早期效果和经验。方法 :2 5例冠心病病人92 %为多支冠状动脉病变。 1 0例左室射血分数 ( EF)≤ 45 % ,其中 4例 <30 %。所有患者均有心绞痛症状 ,CCS ～ 级。 1 0例在非体外循环、心脏不停跳下手术 ,余为低温体外循环 ( CPB)下手术。 1 4例采用左乳内动脉与左前降支搭桥 ,余均为大隐静脉桥 ,人均搭桥 3.0 8支。同期行激光心肌血管重建术 ( TMLR) 3例。结果 :2 5例 CABG临床效果良好 ,无手术死亡。术后 96%的患者心绞痛症状完全消失。结论 :CABG是一种治疗冠心病安全和有效的方法 ,近期临床效果满意。

CORONARY ARTERY BYPASS GRAFTING FOR TREATMENT OFCORONARY ARTERY DISEASE WITH A REPORT OF 25 CASES

Objective:To review the experience and early clinical results of coronary artery bypass grafting (CABG) for treatment of coronary artery disease retrospectively.Methods:CABG was performed on 25 patients, 92% of them had pathological changes in multiple coronary vesssels.Left ventricular ejection fraction(EF) was equal to or lower than 40% in 10 patients and less than 30% in 4 patints.All patients had preoperative angina.Ten patients received CABG without cardiopulmonary bypass(CPB).The internal mammary artery was used in 14 patients and the saphenous veins in 11.Transmyocardial laser revascularization(TMLR) was performed on 3 cases during CABG.Post operative intraaortic ballon pump(IABP) was required in one case.The average number of grafts was 3 08.Results:There was no operative death.All patients were discharged from hospital after recovery and 96% of patients are free of angina after operation.Conclusion:CABG is a safe and effective way of treating coronary heart disease.