| 冠状动脉搭桥术及附加手术21例 |
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| 引用本文： | 童健,阎玉生,万磊池,陈坤堂,钱希明,陈群清.冠状动脉搭桥术及附加手术21例[J].第一军医大学学报,2004,24(1):115-116. |
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| 作者姓名： | 童健 阎玉生 万磊池 陈坤堂 钱希明 陈群清 |
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| 作者单位： | 第一军医大学珠江医院心胸外科,广东广州510282 |
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| 摘 要： | 目的 总结我科冠状动脉搭桥术(CABG)及附加手术的经验，介绍围术期的处理特点。方法 对1998年12月～2002年12月行CABG及附加手术的21例患者的临床资料进行总结分析。结果 早期死亡2例，系急性心肌梗死后急症搭桥者。附加手术的病例全部存活。随访18例，其中心绞痛症状消失17例，残余心绞痛症状1例。结论 尽管瓣膜置换等附加手术延长了CABG的手术时间，但加强围术期管理，完全心肌血运重建，仍可取得较好结果。
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| 关 键 词： | 冠状动脉搭桥术 附加手术 临床经验 围手术期处理 心脏病 |
Experience with coronary artery bypass grafting and concomitant procedures in 21 cases] |
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| Jian Tong,Yu-sheng Yan,Lei-chi Wan,Kun-tang Chen,Xi-ming Qian,Qun-qing Chen.Experience with coronary artery bypass grafting and concomitant procedures in 21 cases][J].Journal of First Military Medical University,2004,24(1):115-116. |
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| Authors: | Jian Tong Yu-sheng Yan Lei-chi Wan Kun-tang Chen Xi-ming Qian Qun-qing Chen |
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| Institution: | Department of Thoracic and Cardiovascular Surgery, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China. |
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| Abstract: | OBJECTIVE: To review our experience with coronary artery bypass grafting (CABG) and its concomitant procedures. METHODS: From December, 1998 to December, 2002, 21 patients underwent CABG and their clinical data were analyzed. RESULTS: Nineteen patients were discharged uneventfully after the procedure. Early death occurred in 2 patients who received emergency operation after acute myocardial infarction. Among the 18 patients followed up, angina was eliminated in all but one patient. CONCLUSION: Although the concomitant procedures such as valve replacement may prolong the operation time for CABG, good clinical outcome of the patients can still be expected by implementation of intensive perioperative management and complete myocardial revascularization. |
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