| 冠心病围手术期低氧血症相关因素分析 |
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| 引用本文： | 孙勇,池一凡,侯文明,牛兆倬.冠心病围手术期低氧血症相关因素分析[J].中外医疗,2009,28(29):11-12. |
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| 作者姓名： | 孙勇 池一凡 侯文明 牛兆倬 |
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| 作者单位： | 山东省青岛市市立医院,山东青岛,266071 |
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| 摘 要： | 目的分析冠状动脉旁路移植术（CABG）后低氧血症的相关因素。方法2006年1月至2009年1月实施CABG318例,术后发生低氧血症36例,对低氧血症患者年龄、吸烟史、术前有无肺部疾病、手术前后射血分数、是否体外循环、体外循环时间及主动脉阻断时间、是否急症手术、是否合并肺部感染等与非低氧血症患者组进行相关性分析。结果术后发生低氧血症36例,发生率为11.4%其中轻度低氧血症19例（52.8%）,中度6例（16.7%）,重度1例（2.8%）。低氧血症的发生与年龄、有吸烟史、术前有肺部疾病、体外循环时间、急症手术、术后心功能,合并肺部感染等因素密切相关,且1例因严重低心排死亡。结论CABG术后低氧血症在高龄、有吸烟史、术前有肺部疾病、体外循环时间长、急症手术、术后心功能差,合并肺部感染等患者容易发生。
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| 关 键 词： | 冠状动脉旁路移植术 低氧血症 |
Clinical Research on Hypoxemia in Patients after Coronary Artery Bypass Grafting |
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| SUN Yong,CHI Yifan,HOU Wenming,NIU Zhaozhuo.Clinical Research on Hypoxemia in Patients after Coronary Artery Bypass Grafting[J].China Foreign Medical Treatment,2009,28(29):11-12. |
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| Authors: | SUN Yong CHI Yifan HOU Wenming NIU Zhaozhuo |
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| Affiliation: | (Department of Cardiac Surgery, Qingdao Municipal HospitaI,Qingdao 266071 ,China) |
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| Abstract: | Objective To analyze the relative factors of hypoxemia in patients after coronary artery bypass grafting.Methods From January 2006 to January 2009,36 patients suffered from post-operative hypoxemia among the 318 patients investigated.The relative-analysis of age,smoke,pulmonary disease,peri-operative LVEF, CPB and CPB time,ACC time,emergency operation and post-operative pneumonia were reviewed.Results Hypoxemia happened in 35 cases and the incidence of hypoxemia was 11.4%.The risk factors of hypoxemia were ... |
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| Keywords: | CABG Hypoxemia |
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