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非体外循环冠状动脉旁路移植术中紧急转流的应用

张韫佼 梅举 苏枫 朱家全 胡丰庆

同济大学学报(医学版)2011,Vol.32Issue(4):84-86,3.
同济大学学报(医学版)2011,Vol.32Issue(4):84-86,3.DOI:10.3969/j.issn.1008-0392.2011.04.020

非体外循环冠状动脉旁路移植术中紧急转流的应用

Emergency extracorporeal circulation during off-pump coronary artery bypass surgery

张韫佼 1梅举 1苏枫 1朱家全 1胡丰庆1

作者信息

  • 1. 上海交通大学医学院附属新华医院心胸外科,上海 200092
  • 折叠

摘要

Abstract

Objective To review the experience of emergency extracorporeal circulation ( ECC) during off-pump coronary artery bypass grafting (CABG) operation. Methods From Jan 2005 to July 2010, 518 patients were expected to have off-pump coronary artery bypass grafting. During operation, 27 patients were conversed to on-pump CABG. We retrospectively reviewed the clinical data of these patients and summarize the techniques of emergency ECC. Results Among 27 patients who were conversed to on-pump CABG, 22 cases were weaned from ECC smoothly, 2 cases needed prolonged assistance and 3 cases needed intra-aortic balloon pump(IABP). Two patients died postoperatively. Conclusion Quick ECC establishment, modified perfusion technique and IABP application can reduce postoperative complications and mortality in patients undergoing off-pump coronary artery bypass surgery.

关键词

非体外循环冠状动脉旁路移植术/体外循环冠状动脉旁路移植术/体外循环

Key words

off-pump coronary artery bypass grafting/ on-pump coronary artery bypass grafting/extracorporeal circulation

分类

医药卫生

引用本文复制引用

张韫佼,梅举,苏枫,朱家全,胡丰庆..非体外循环冠状动脉旁路移植术中紧急转流的应用[J].同济大学学报(医学版),2011,32(4):84-86,3.

同济大学学报(医学版)

OACSTPCD

1008-0392

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