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中国现代手术学杂志  2017, Vol. 21 Issue (4): 245-250    DOI: 10.16260/j.cnki.1009-2188.2017.04.002
  手术学研究 |
70岁以上体外循环下冠脉旁路移植术的临床分析
封加涛,简劲峰,苏艳玲,叶华安,林家旺,赵铎,杨宗达
佛山市第一人民医院心血管外科, 佛山 528000
Outcomes of On-pump Coronary Artery Bypass Grafting(On-pump CABG)Surgery in Patients Aged Over70Years
FENG Jia-tao,JIAN Jing-feng,SU Yan-ling,YE Hua-an,LIN Jia-wang,ZHAO Duo,YANG Zong-da
Department?of?Cardiothoracic?Surgery,the?First?People's?Hospital?of?Foshan,Foshan528000,Guangdong,China
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摘要 ?目的总结70岁以上高龄患者体外循环下冠脉旁路移植手术(on-pump coronary artery by grafting, on-pump CABG)的临床特点和结果。方法回顾分析佛山市第一人民医院2001年10月至2016年10月期间80例70岁以上高龄患者的on-pump CABG 情况。记录术前一般情况、冠状动脉病变、合并疾病、治疗情况、术中手术方式、术后恢复情况以及并发症和病死率。结果全组死亡2例,手术后围手术期8例出现躁动性谵妄;肺部感染8例;肾替代治疗4例;因为出血需要二次开胸患者2例;并发房颤16例。结论对于70岁以上需要冠脉搭桥的高龄冠心病患者,on-pump CABG可以提供有效安全的治疗效果。
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封加涛,简劲峰,苏艳玲,叶华安,林家旺,赵铎,杨宗达
关键词:  冠心病  冠状动脉旁路移植术  体外循环  老年人    
Abstract: ObjectiveTo review the clinical characteristics and outcomes of the patients aged over 70 years who receivedon-pump coronary artery bypass grafting(on-pump CABG) surgery at our center.MethodsIt was retrospectively reviewed in 80 cases aged over 70 years diagnosed with coronary artery diseases and received on-pump CABG at our hospital from October 2001 to October 2016. The detailed clinical data of these patients were analyzed, such as the preoperative general situation,coronary lesions,merge diseases,treatments,surgical procedures,postoperative recovery,complications and mortality.ResultsThere were 2 deaths (2.5%) in hospital. The postoperative complications included 8 agitated delirium and 8 pulmonary infections. There were two cases underwent a secondary thoracotomy due to bleeding. 4 renal replacement therapies and 16 atrial fibrillation were used as well.ConclusionOn-pump CABG is a safe procedure when performed in elderly patients.
Key words:  coronary artery disease    coronary artery bypass graft    cardiopulmonary bypass    the aged
               出版日期:  2017-08-26      发布日期:  2018-05-15      期的出版日期:  2017-08-26
ZTFLH:  R54  
通讯作者:  封加涛,男,56岁,佛山市第一人民医院心血管外科主任,主任医师,医学博士。   
作者简介:  封加涛,男,56岁,佛山市第一人民医院心血管外科主任,主任医师,医学博士。
引用本文:    
封加涛,简劲峰,苏艳玲,叶华安,林家旺,赵铎,杨宗达. 70岁以上体外循环下冠脉旁路移植术的临床分析[J]. 中国现代手术学杂志, 2017, 21(4): 245-250.
FENGJia-tao. Outcomes of On-pump Coronary Artery Bypass Grafting(On-pump CABG)Surgery in Patients Aged Over70Years. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 245-250.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.04.002  或          http://www.surgerychina.com/CN/Y2017/V21/I4/245
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