节点文献

冠状动脉搭桥6例体会

Experiences in Six Cases of Coronary Bypass

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 顾瑞华于昂王仲陈阿贝张化新

【Author】 Gu Ruihua, et al Chest Hospital and Cardiovascular Institute, Tianjin

【机构】 天津市胸科医院心脏外科天津市心血管病研究所天津市心血管病研究所 300051 天津医学院第二附属医院心脏外科300051

【摘要】 本文报告1985年7月至1991年4月施行的6例冠状动脉旁路血管移植术。男5例,女1例,平均年龄60岁。全部有心绞痛史,陈旧性心肌梗塞4例。手术采用体外循环合并中低温,用自体大隐静脉在主动脉和冠状动脉之间架血管桥,解除因冠状动脉堵塞造成的心肌缺血。全组共搭桥19根,同时行室留瘤切除1例,血管内膜剥离1例。5例存活,1例死亡。诊断清楚、吻合满意、血运重建充分是手术成功的关键。良好的心肌保护,恰当的吻合秩序和应用蛇形桥有助于手术成功。

【Abstract】 Six cases of Coronary-Aortic Bypass Graft (CABG), performed from June, 1985 toApril, 1991, were reported, including 5 males and 1 female with the mean-age of 60years. All had angina pectoris, 4 previous myocardial infarction. Autologous saphen-ous vein grafts between aorta and coronary artery were put, with cardiopulmonary by-pass and hypothermia, to release myocardial ischemia caused by coronary occlusion.There were 19 grafts in the series, and one repair for ventricular aneurysm and oneendarterectomy. There resulted 5 survivals and 1 death. Clear diagnosis, perfect anas-tomosis, and full revascularization were the keys of successful surgery. Good myo-cardial protection, proper anastomotic order and using sequential graft techniquewould help the surgery.

  • 【文献出处】 天津医药 ,Tianjin Medical Journal , 编辑部邮箱 ,1992年05期
  • 【下载频次】9
节点文献中: 

本文链接的文献网络图示:

本文的引文网络