山东医药2012，Vol.52Issue(33)：41-43,3.
“一站式”复合技术(Hybrid)在冠心病中的应用研究
“One-stop” composite technology ( Hybrid) application in coronary heart disease research
摘要
Abstract
Objective To evaluate the feasibility, safety, and clinical outcomes of the hybnd coronary artery bypass grafting surgery in 8 patients. Methods Hybrid coronary artery bypass grafting surgery was performed in 8 patients, combined with hypertension in 6 eases, diabetes mellitus in 4 cases, remote myocardial infarction in 5 cases, renal insufficiency in 2 cases, and cardiac insufficiency in 3 cases. Preoperative coronary angiography prompted the stenosis of left, anterior descending artery (LAD) was 75% ~ 100% , accompanied by 70%~98% stenosis of RCA or left circumflex artery. Cardiac ultrasonography tip of left ventricular ejection fraction was 0.41 to 0. 62(0. 55 ±0. 16). Results There was no death, hemorrhage, stroke, arrhythmias, myocardial infarction, postoperative wound infection and other complications in this group. Beating heart coronary artery bypass grafting surgery time was 1. 6 to 2.7 (1.7 ± 0. 9) h. The Endotracheal intubation time was 5 - 13(7. 8 ±2.9) h. The 24 h pleural effusion was 65 -410(213.4 ±89.3) mL. The ICU stay time was 1 ~ 2 d( 1.4 ±0. 5 ) d. The postoperative hospital stay was 5 -9(5.7±1. 9 ) d. Follow-up duration was 0.7~2.7 years, there was. no long-term myocardial infarction and death, and no re-operation. Conclusion "One-stop" composite technology ( Hybrid) in treatment of multivessel coronary artery disease is a safe, effective surgical approach, its long-term efficacy remains to be verified by more clinical applications and clinical trials.关键词
心肌缺血/hybrid技术/外科手术Key words
myocardial ischemia/ Hybrid/ surgical procedures, operative分类
医药卫生引用本文复制引用
刘晓明,刘季春,周学亮,喻本桐,吴起才,万力..“一站式”复合技术(Hybrid)在冠心病中的应用研究[J].山东医药,2012,52(33):41-43,3.基金项目
江西省科技厅资助项目(2009BSB11207). （2009BSB11207）
