| 全动脉化冠状动脉旁路移植术的应用与疗效观察 |
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| 引用本文： | 杨苏民,徐平,邢泉生,高洪波.全动脉化冠状动脉旁路移植术的应用与疗效观察[J].国外医学：心血管疾病分册,2004,31(4):243-245. |
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| 作者姓名： | 杨苏民 徐平 邢泉生 高洪波 |
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| 作者单位： | 青岛大学医学院附属医院心外科 266003
(杨苏民，徐平，邢泉生)，青岛大学医学院附属医院心外科 266003(高洪波) |
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| 摘 要： | 目的:探讨全动脉化冠状动脉旁路移植术的手术技术。 方法:42例接受全动脉化冠状动脉旁路移植术的患者,其中男性37例,女性5例,年龄28～73岁,平均(57.43±7.45)岁。体外循环下搭桥16例,非体外循环下心脏不停跳搭桥26例。人均旁路3.08支(1～5支),左乳内动脉(IMA)34例,双侧IMA 8例,左侧桡动脉(RA)33例,双侧RA 9例,胃网膜右动脉(GEA)1例。 结果:术后仅1例患者因多器官功能衰竭死亡(死亡率2.4％),41例(97.6％)症状明显改善,康复出院。 结论:全动脉化搭桥手术早期临床效果满意。
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| 关 键 词： | 冠状动脉旁路移植术 乳内动脉 桡动脉 胃网膜右动脉 |
Application of complete arterial revascularization in coronary artery bypass grafting |
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| Authors: | YANG Sumin XU
Ping XING Quansheng |
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| Institution: | YANG Sumin,XU
Ping,XING Quansheng,et al. Dept. of Cardiac Surgery,the Affiliated Hospital of Qingdao Uni-
versity,Qingdao,Shandong 266003 |
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| Abstract: | Objective:To investigate the surgical technique and clinical experience of using complete arterial graft in coronary artery bypass grafting (CABG). Methods: 42 patients underwent CABG using complete arterial graft including 16 cases on pumping and 26 cases off pumping. Mean conduits were 3. 08 grafts. Left internal mammary artery (IMA) was harvested in 34 cases,bilateral IMA in 8 cases,left radial artery(RA)in 33 cases ,bilateral RA in 9 cases, gastroepiploic artery in 1 case. Results: Only one case died in hospital because of multisystem organ failure. 41 patients were discharged from the hospital. Conclusions: The early-term clinical result of complete arterial revascularization in coronary artery bypass grafting is good. |
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| Keywords: | Coronary artery bypass grafting Internal mammary artery Radial artery Gastroepepolic artery |
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