| 非体外循环冠状动脉搭桥术25例报告 |
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| 引用本文： | 陈华增,张文,骆学全,强生廷,张波,冼国明,张峰.非体外循环冠状动脉搭桥术25例报告[J].中国基层医药,2010,17(5):581-582. |
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| 作者姓名： | 陈华增 张文 骆学全 强生廷 张波 冼国明 张峰 |
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| 作者单位： | 肇庆市第一人民医院心胸外科,广东省肇庆,526021 |
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| 摘 要： | 目的探讨非体外循环冠状动脉搭桥术（OPCAB）的临床应用价值。方法对25例冠心病患者采用前胸正中切口，应用OCTOPUS局部心肌固定器，非体外循环、心脏不停跳状态下实施冠状动脉搭桥术，搭桥2—4根。结果无手术死亡，无一例中转体外循环，ICU观察2—3天。术后随访半年至四年，所有患者心绞痛症状消失，活动量增加。结论OPCAB安全、经济、有效，尤其适用于多支血管病变。
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| 关 键 词： | 冠状血管 体外循环 |
Report of 25 cases underwent Off-pump coronary artery bypass grafting |
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| CHEN Hua-zeng,ZHANC Wen,LUO Xue-quan,QIANG Slwng-ting,ZHANG Bo,XIAN Guo-ming,ZHANG Feng.Report of 25 cases underwent Off-pump coronary artery bypass grafting[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(5):581-582. |
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| Authors: | CHEN Hua-zeng ZHANC Wen LUO Xue-quan QIANG Slwng-ting ZHANG Bo XIAN Guo-ming ZHANG Feng |
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| Affiliation: | . (Department of Cardiothoracic SurgeD＇. The First People＇ s Hospital of Zhaoqing, Zhaoqing, GuangJong 526021, China) |
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| Abstract: | Objective To explore the clinical value of the"off-pump"coronary artery bypass grafting(OP-CAB)Methods 25 cases with coronary heart disease received off-pump beating heart coronary artery bypass grafting.Using the Medtronic Octopusil stabilizer,bypass 2～4.Results There was no operative mortality.no cases of transfer pump,2 to 3 days in ICU and discharged an average of 14 days after the operation.Postoperative follow-up six months to four years,Angina symptoms disappeared and activity increased in all patients.Conclusion Off-pump coronary artery bypass grafting is a safe,effective and economical technique,especially for multi-vessel disease. |
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| Keywords: | Coronary Vessels Extracorporeal circulation |
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