| 引用本文： |
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张韫佼,梅举,苏枫,等.非体外循环冠状动脉旁路移植术中紧急转流的应用[J].同济大学学报（医学版）,2011,32(4):84-86. [点击复制]
- ZHANG Yun-jiao,MEI Ju,SU Feng,et al.Emergency extracorporeal circulation during off-pump coronary artery bypass surgery[J].同济大学学报（医学版）,2011,32(4):84-86. [点击复制]
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| 摘要: |
| 目的 探讨非体外循环冠状动脉旁路移植术紧急转为体外循环冠状动脉旁路移植术的体外循环技术和管理。方法 自2005年1月至2010年7月间,518例冠心病患者行非体外循环冠状动脉旁路移植术,术中27例紧急转为体外循环冠状动脉旁路移植术,分析这些患者的临床资料及体外循环方法。结果 全组27例中22例顺利脱机,2例延长辅助时间后顺利脱机,3例停机困难置入主动脉内气囊反搏后顺利停机,术后死亡2例。结论 迅速建立体外循环,改良体外循环技术,主动脉内气囊反搏的应用等综合措施可以减少非体外循环冠状动脉旁路移植术并发症,降低病死率,保证体外循环质量。 |
| 关键词: 非体外循环冠状动脉旁路移植术 体外循环冠状动脉旁路移植术 体外循环 |
| DOI：10.3969/j.issn1008-0392.2011.04.020 |
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| 基金项目: |
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| Emergency extracorporeal circulation during off-pump coronary artery bypass surgery |
| ZHANG Yun-jiao,MEI Ju,SU Feng,ZHU Jia-quan,HU Feng-qing |
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| Abstract: |
| Objective To review the experience of emergency extracorporeal circulation(ECC) during off-pump coronary artery bypass grafting(CABG) operation.Methods From Jan 2005 to July 2010,518 patients were expected to have off-pump coronary artery bypass grafting.During operation, 27 patients were conversed to on-pump CABG.We retrospectively reviewed the clinical data of these patients and summarize the techniques of emergency ECC.Results Among 27 patients who were conversed to on-pump CABG,22 cases were weaned from ECC smoothly,2 cases needed prolonged assistance and 3 cases needed intra-aortic balloon pump(IABP).Two patients died postoperatively. Conclusion Quick ECC establishment,modified perfusion technique and IABP application can reduce postoperative complications and mortality in patients undergoing off-pump coronary artery bypass surgery. |
| Key words: off-pump coronary artery bypass grafting on-pump coronary artery bypass grafting extracorporeal circulation |
