局解手术学杂志2017，Vol.26Issue(11)：838-841,4.DOI:10.11659/jjssx.07E017042
冠脉搭桥合并瓣膜手术中不停跳冠脉搭桥心肌保护技术的应用
Myocardial protection technique for off-pump coronary artery bypass grafting combined with valve surgery
陈林 1程可洛 1吴家园 1蔡小碧 1梁柱 1林立尧1
作者信息
- 1. 广东医科大学附属医院胸心外科,广东湛江524001
- 折叠
摘要
Abstract
Objective To investigate the application of myocardial protection technique in off-pump coronary artery bypass grafting (CABG) combined with valve surgery.Methods Forty-five patients who received CABG combined valve surgery in the cardiothoracic surgery department of our hospital from February 2015 to March 2017 were as the research object.All of the patients were treated by myocardial protection technique in off-pump CABG combined with valve surgery.The preoperative and postoperative heart function rating and color ultra results and surgical patients discharged to evaluate the method.Results There was no difference in left ventricular ejection fraction before and after surgery(P ＞ 0.05).left ventricular end diastolic diameter and left atrial end diastolic diameter at 7 days after operation was significantly lower than those before operation,the differences were significant (P ＜ 0.05).After followed up for 3 months,the level Ⅰ and level Ⅱof cardiac function increased significantly in 29 cases,heart function classification(NYHA) after 3 months was significantly better than that before the surgery,the difference was significant(P ＜ 0.05).Mediastinal infection occurred in 1 case and poor healing of wound in 1 case,healing after active treatment.Conclusion Myocardial protection technique in off-pump CABG combined with valve surgery plays an important role in the whole surgical process and ensures the operation effect.关键词
冠脉搭桥/瓣膜手术/不停跳搭桥心肌保护技术/临床疗效Key words
coronary artery bypass grafting/valve surgery/off-pump myocardial protection technique/clinical efficacy分类
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陈林,程可洛,吴家园,蔡小碧,梁柱,林立尧..冠脉搭桥合并瓣膜手术中不停跳冠脉搭桥心肌保护技术的应用[J].局解手术学杂志,2017,26(11):838-841,4.
