气囊漂浮导管在重度冠心病冠脉搭桥术后的应用

目的探讨气囊漂浮导管对重度冠心病冠脉搭桥术后心血管功能监测的方法和结果。方法观察22例重度冠心病冠脉搭桥术后的患者,插入气囊漂浮导管同时进行血液动力学监测。对病情判断及治疗进行整体效果的评估,同时选用重度冠心病18人进行全身麻醉体外循环下搭桥并进行监测。结果该组22例患者病情好转出院,术后心指数基本正常,肾功能衰竭、高血压、围手术期心肌梗死、脑血管意外、二次开胸止血等严重并发症没有发生。两组相比,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。结论气囊漂浮导管在重度冠心病冠脉搭桥术后的心血管功能监测上具有良好的效果,临床上应该推广应用。

Application of balloon floating catheter in severe coronary heart disease after coronary bypass operation

Aim To explore effects of floating balloon catheter of severe coronary heart disease on cardiovascular function after coronary artery bypass grafting and results of monitoring.Methods 22 cases of severe coronary heart disease patients with coronary artery bypass surgery,were observed the balloon floating catheter inserted simultaneously with hemodynamic monitoring.Meanwhile 18 severe coronary heart disease patients were chosen under cardiopulmonary bypass with general anesthesia.Results All the 22 patients improved after hospital discharge.Such serious complications as the basic normal heart index,renal failure,hypertension,perioperative myocardial infarction,cerebrovascular accident,secondary open-chest hemostatic etc did not happen.The total effective rate was higher in the observation group,and the difference was statistically significant（P0.05）.Conclusion Floating balloon catheter in coronary heart disease with severe coronary artery bypass surgery on cardiovascular function monitoring has a good effect,which should be applied in clinics.