| 再次冠状动脉旁路移植术25例总结 |
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| 引用本文： | 贺东,许建屏,孙寒松,凤玮. 再次冠状动脉旁路移植术25例总结[J]. 实用临床医药杂志, 2009, 13(9) |
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| 作者姓名： | 贺东 许建屏 孙寒松 凤玮 |
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| 作者单位： | 中国医学科学院,中国协和医科大学,心血管病研究所,阜外医院,心外科,北京,100037;中国医学科学院,中国协和医科大学,心血管病研究所,阜外医院,心外科,北京,100037;中国医学科学院,中国协和医科大学,心血管病研究所,阜外医院,心外科,北京,100037;中国医学科学院,中国协和医科大学,心血管病研究所,阜外医院,心外科,北京,100037 |
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| 摘 要： | 目的总结再次冠状动脉旁路移植术(Re-CABG)治疗冠心病的临床经验及手术效果。方法1997年3月~2007年5月共完成Re-CABG手术25例,男22例,女3例;年龄50~72岁,平均(62.5±8.1)岁;2次手术时间间隔3~109个月,平均(48.7±35.2)个月。体外循环Re-CABG手术17例,不停跳非体外循环Re-CABG手术8例。结果全组25例患者恢复顺利,无手术死亡,无心肌梗死,心绞痛症状消失。术后随访8~90个月,平均(38.7±30.6)个月,无心绞痛复发,无冠心病相关事件发生。失访4例。结论正确掌握手术指征和时机,合理应用各种技术和方法及良好围手术期管理,Re-CABG可以取得满意的临床疗效。
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| 关 键 词： | 冠状动脉旁路移植术 移植物闭塞 血管 再手术 |
Re-operative coronary artery bypass grafting in 25 patients |
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| Abstract: | Objective To summarize and analyze the Clinical experience and surgical results of re-operative coronary artery bypass grafting(Re-CABG).Methods 25 patients who underwent Re-CABG in Fuwai Hospital from March,1997 to May,2007 were analyzed.There were 22 males and 3 females aged from 50 to 72(62.5±8.1) years old.The average interval between the two graftings was 48.7±35.2 months(range,3-109 months).Results There were no operative death and myocardial infarction.The patients were followed up for 38.7±30.6 months(range,8-90 months),and no recurrent angina pectoris or related events occurred.Conclusion Satisfactory outcome of Re-CABG can be acheived if proper indication was chosen and reasonable management was performed. |
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| Keywords: | coronary artery bypass grafting graft occlusion,vascular Re-operation |
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