引用本文: |
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孙益峰,梅运清,王玺胜,冯靖,$2,谢士梁.不停跳冠状动脉旁路移植术后低氧血症的临床研究[J].同济大学学报(医学版),2007,(5):83-86. [点击复制]
- .Clinical research on hypoxemia in patients after off-pump coronary artery bypass grafting[J].同济大学学报(医学版),2007,(5):83-86. [点击复制]
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摘要: |
目的分析不停跳冠状动脉旁路移植术(off-pump coronary artery bypass,OPCAB)后低氧血症的相关因素及其处理措施。方法159例OPCAB患者术后发生低氧血症36例,对低氧血症患者的年龄、术前心功能、手术时间与非低氧血症患者组进行相关性分析。结果低氧血症在年龄大于70岁(含70岁),术前左室射血分数(leftventricular ejection fraction,LVEF)小于55%的发生率分别为31.8%和40.1%,与小于70岁和术前LVEF大于55%的患者相比有显著性差异,另外,低氧血症组手术时间较非低氧血症手术时间显著延长。低氧血症患者经双水平正压无创通气(biphasic positive airway pressure ventilation,BIPAP)顺利纠正31例,气管插管,呼吸机辅助呼吸后好转2例,气管切开治疗好转1例,气管切开治疗无效死亡2例。结论OPCAB术后低氧血症在高龄、术前心功能低下、手术时间长患者容易发生,应用BIPAP辅助呼吸、抗感染、强心等措施可有效纠正术后低氧血症。 |
关键词: 冠状动脉旁路移植术,低氧血症,不停跳 |
DOI: |
修订日期:2007-05-18 |
基金项目: |
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Clinical research on hypoxemia in patients after off-pump coronary artery bypass grafting |
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Abstract: |
Objective To analyze the relative factors of hypoxemia in patients after off-pump coronary artery bypass grafting and to study the treatment of hypoxemia.Methods Among the 159 patients investigated,36 patients suffered from post-operative hypoxemia,and re |
Key words: CABG,hypoxemia,off-pump |