【摘要】 目的了解该院冠脉旁路移植术患者基本临床特征及短期预后。方法回顾我院2014年7月—2015年6月内行CABG术的患者。结果共纳入患者139例,男性占77.7%。左主干狭窄(>50%)占24.5%,3支病变占92.1%。单纯CABG手术87.8%采用了非体外循环。CABG合并瓣膜手术组再次手术率明显高于单纯CABG组(15.8%VS 4.3%)。结论 CABG患者冠脉病变多累及3支冠脉及左主干,高危患者应仔细权衡手术利弊,术后可早期应用球囊反搏。当CABG合并瓣膜手术时,因出血或心脏压塞问题而非计划再次手术的比例明显增高。更多还原

【Abstract】 Objective To study the clinical characteristics and short-term outcome of patients who had been underwent the coronary artery bypass graft surgery.Methods Patients who underwent the CABG surgery in author’s hospital from July 2014 to June 2015 were studied.And the data were collected through the Hospital Information System.Results A total of 139 patients were collected containing 115 CABG surgeries and 19 CABG combined with valve surgery and 5 CABG combined with other surgery.77.7%of them were male.The ratio of obesity,diabetes,hypertension and hyperlipidemia was much higher than general people.The left main branch was stenosis in24.5%patient,and 92.1% patients with three-vessel disease.87.8% CABG surgeries were finished off-pump.The group of CABG combined with valve surgery had a high risk of re-operation(15.8% VS4.3%).Conclusion Most CABG patients have left main branch or three-vessel disease.The benefit and risk should be considered carefully in high risk patients,and the IABP should be used early.When CABG combined with the valve surgery,the risk of re-operation raised because of hemorrhage or cardiac tamponade.更多还原