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|本期目录/Table of Contents|

非体外循环和体外循环冠状架桥的效果和资源利用的比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第2期
页码:
144-146
栏目:
临床研究
出版日期:
2003-03-01

文章信息/Info

Title:
Comparison of the effectiveness and resource utilization of coronary artery bypass grafting with and without extracorporeal circulation
作者:
陈敏; 巩固; 董辉; 张英民; 熊利泽
第四军医大学西京医院麻醉科,陕西 西安 710032
Author(s):
CHEN Min; GONG Gu; DONG Hui; ZHANG Ying-ming; XIONG Li-ze
Department of Anesthesia,Xijing Hospital,Fourth Military Medical University,Xi'an,Shaanxi,710032,China
关键词:
冠状动脉旁路移植手术; 非体外循环; 麻醉
Keywords:
coronary artery by pass grafting; off pump; anesthesia
分类号:
R614
DOI:
-
文献标识码:
A
摘要:
目的:比较非体外循环(offpump)和体外循环(CPB)冠状动脉架桥(CABG)手术的效果和转归。方法:113例 患者接受CABG手术,其中59例采用offpumpCABG,55例采用传统的CABG,作者用回顾性分析的方法比较两 组患者的手术时间,病变情况,拔管时间,ICU留住时间,出院时间和病死率。结果:两组患者的手术时间,病变情况 无明显差异,offpump组的拔管时间略早于CPB组(9:15),但无统计学意义。Offpump组的ICU留住时间和出 院时间均明显短于CPB组,offpump组的病死率明显低于CPB组。结论:offpumpCABG较之传统的CABG有较 低的病死率,并能缩短ICU留住时间和住院时间,因此减少医疗费用,节约医疗资源。
Abstract:
AIM:To compare the efficacy and outcome of coronary artery by-pass grafting with and without extracorporeal circulation. METHODS:117 cases underwent coronary artery bypass grafte surgery:58 cases without CPB 55 cases with CPB.Retroactive review duration of operation, condition of vessel disease time to extubation,time to ICU stay time to discharge and mortality of two groups. RESULTS:There were no difference sinsurgical duration and condition of vessel disease in two groups. There were also no differences in time to extubation,The time to ICU stay was short in off pump group than in on pump group.The time to discharge was sighificantly shorter in off pump group than in on pump group.The mortality was sighificantly low in off pump group.CONCLUTION:The results in dicated that the mortality in off pump was lower comparing with patients on pump.The care cost and resource use were reduced in off pump CABG

参考文献/References

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[2]Moshkovitz Y,Sternik L,Paz Y,et al.Primary coronary artery bypass grafting without cardiopulmanary bypass in impaired left ventricular function [J]. Ann Thorac Surg,1997, 63:44-47.

[3] Djaiani GN, Ali M, Heinrich L, etal. Ultra-fast-track anesthetic technique facilitates operating room,extubation in patients undergoing off-pump coronary revascularization surgery [J]. J Cardiothorac Vasc Anesth,2001,15(2):152-157.

[4] Vural KM,Tasdemir O,Karagoz HY.Avoiding early or late failure in"off-pump" coronary artery bypass grafting [J].Ann Thorac Surg,1996,62:940-945.

[5] Nierich AP, Diephuis J,Jansen EW,et al.Embracing heart:perioperative management of patients undergoing off-pump coronary artery bybass grafting using the octopustissue stabilizer[J].JCardiothorac V asc Anesth,1999,13(2):123-129.

[6]Wei M,Kuukasjarvi P,Laurikka J,et al.Cytokine responses and myocardial injury in coronary artery bypass grafting[J]. Scand J Clin Lab Invest, 2001,61(2):161-166.

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备注/Memo

备注/Memo:
收稿日期：2002-2-6.
更新日期/Last Update: 2003-03-01