| 冠状动脉旁路移植术后左心辅助临床应用体会 |
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| 引用本文： | 李京倖,朱晓东,胡盛寿.冠状动脉旁路移植术后左心辅助临床应用体会[J].中华胸心血管外科杂志,2003,19(1):33-35. |
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| 作者姓名： | 李京倖 朱晓东 胡盛寿 |
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| 作者单位： | 1. 北京安贞医院心外科,100029
2. 100037,北京,中国医学科学院,协和医科大学,心血管疾病研究所,阜外心血管病医院心外科 |
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| 摘 要： | 目的：总结冠状动脉移植术（搭桥术）后使用左心机械辅助情况，为临床处理重症冠心病提供参考。方法：回顾分析了1704例搭桥术病人使用左心辅助的情况，并分析了其与并发症、病死率相关因素。结果：搭桥术病人左心机械辅助使用率为1.5％，脱机率76％，出院率48％。主要并发症为多发性器官功能衰竭（MOF）、出血等。死亡病人大多在脱机后发生，主要死因为MOF、肾功能不全、心功能衰竭。结论：搭桥术后左心机械辅助应强调早期使用，如有可能，小流量观察一段时间再停机。
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| 关 键 词： | 临床应用 冠状动脉疾病 冠状动脉分流术 心脏辅助装置 冠心病 |
| 修稿时间： | 2002年8月15日 |
Clinical use of left ventricular assist in coronary artery surgery |
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| LI Jing-xin ,ZHU Xiao-dong,HU Sheng-shou,et al..Clinical use of left ventricular assist in coronary artery surgery[J].Chinese Journal of Thoracic and Cardiovascular Surgery,2003,19(1):33-35. |
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| Authors: | LI Jing-xin ZHU Xiao-dong HU Sheng-shou |
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| Institution: | LI Jing-xin *,ZHU Xiao-dong,HU Sheng-shou,et al. Department of Cardiac Surgery,Cardiovascular Institute and Fu Wai Hospital,CAMC & PUMC,Beijing 100037,China *Department of Cardiac Surgery,Anzhen Hospital,Beijing 100029,China |
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| Abstract: | Objective: To review the experience of using left ventricular assist(LVAD) in coronary artery bypass grafting (CABG). Methods: The data of 1?704 CABG cases were analyzed. 25 patients required LVAD after CABG (1.5%, 25/1?704). Results: About 78% of 25 patients were weaned off LVAD, and 48% of them were discharged. IABP was used in 88% of patients. The major complications were MOF, lung disease, renal insufficiency/failure, arrhythmia, coagulopathy, and infection. The causes of death were MOF, pump failure, renal failure, ventricular fibrillation, respiratory failure, bleeding. Conclusion: LVAD is a very useful tool in salvaging left ventricular failure. LVAD should be used as early as possible. Before weaning, trials should be madeat decreasing flow rates. |
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| Keywords: | Coronary artery disease Coronary artery bypass Heart-assist devices |
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