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连续170例冠状动脉旁路移植术治疗冠心病
引用本文:陈鑫,郭子黄,陈振强,徐明,高岩,肖立琼.连续170例冠状动脉旁路移植术治疗冠心病[J].中华胸心血管外科杂志,2000,16(1):19-21.
作者姓名:陈鑫  郭子黄  陈振强  徐明  高岩  肖立琼
作者单位:210006,南京医科大学附属南京第一医院
摘    要:目的 回顾应用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 170例(男152例,女18例;年龄35-80岁,平均66.7岁)冠心病病人中97%为多支冠状动脉病变。81例左室射血分数≤45%,其中21例〈30%。84%病人心绞痛CCSⅢ-Ⅳ级。除1例在左前外侧小切口非体外循环下手术,余均为正中开胸低温体外循环下CABG。

关 键 词:冠状动脉旁路移植术  冠心病  CABG
修稿时间:1999-08-17

Consecutive 170 coronary artery bypass graftings in the treatment of coronary artery disease
CHEN Xin,GU Zhihuang,CHEN Zhenqiang,et al..Consecutive 170 coronary artery bypass graftings in the treatment of coronary artery disease[J].Chinese Journal of Thoracic and Cardiovascular Surgery,2000,16(1):19-21.
Authors:CHEN Xin  GU Zhihuang  CHEN Zhenqiang  
Institution:CHEN Xin,GU Zhihuang,CHEN Zhenqiang,et al. Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006
Abstract:Objective To retrospectively review the experience and early clinical results of coronary artery bypass grafting (CABG) in the treatment of coronary artery disease. Method CABG was performed on 170 consecutive patients (152 male,18 female), age ranged from 35 to 80 years (mean,66.7 years). 97% of them had multiple coronary vessels disease. Left ventricular ejection fraction (EF) were equal to or lower than 45% in 81 patients and less than 30% in 21 patients among them. 84% of patients had class III or IV preoperative angina. All patients received CABG through middle sternotomy under cardiopulmonary bypass (CPB) except one who received minimal invasive direct coronary bypass without CPB. The average number of grafts were 3.13 and the infernal mammary artery were used in 41 patients and the saphenous veins in 129. Post-operatively intraaortic balloon pump was required in 3 cases. Result There was no operative mortality. All patients recovered and were discharged. 94% of patients are angina free and 6.0% patients in class I-II angina at a mean follow up period of 14.8 months. Conclusion CABG is a safe and effective way for the treatment of coronary heart disease with acceptable morbidity and mortality.
Keywords:Coronary artery bypass grafting    Saphenous vein    Inetrnal mammary artery
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