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非体外循环冠状动脉旁路移植术治疗急性心肌梗死的临床研究
Off-pump coronary artery bypass grafting in treatment for acute myocardial infarction
- 第三军医大学学报 2021年43卷第2期 页码：91-95
- 作者机构：
400037 重庆，陆军军医大学(第三军医大学)第二附属医院全军心血管外科研究所
- 作者简介：
[ 陈劲进，E-mail:1904696608@qq.com CHEN Jinjin, E-mail: 1904696608@qq.com
- 基金信息：国家重点研发计划项目(2016YFC1301400)
DOI：10.16016/j.1000-5404.202007233
中图分类号： R181.32;R542.22;R642.2收稿：2020-07-29，
修回：2020-10-23，
纸质出版：2021-01-30
- 稿件说明：
移动端阅览
彭晓波, 鞠胜杰, 肖颖彬, 等. 非体外循环冠状动脉旁路移植术治疗急性心肌梗死的临床研究[J]. 第三军医大学学报, 2021,43(2):91-95.
Xiaobo PENG, Shengjie JU, Yingbin XIAO, et al. Off-pump coronary artery bypass grafting in treatment for acute myocardial infarction[J]. Journal of Third Military Medical University, 2021, 43(2): 91-95.
彭晓波, 鞠胜杰, 肖颖彬, 等. 非体外循环冠状动脉旁路移植术治疗急性心肌梗死的临床研究[J]. 第三军医大学学报, 2021,43(2):91-95. DOI： 10.16016/j.1000-5404.202007233.
Xiaobo PENG, Shengjie JU, Yingbin XIAO, et al. Off-pump coronary artery bypass grafting in treatment for acute myocardial infarction[J]. Journal of Third Military Medical University, 2021, 43(2): 91-95. DOI： 10.16016/j.1000-5404.202007233.
摘要
目的
2
评价非体外循环冠状动脉旁路移植术对急性心肌梗死治疗的临床效果。
方法
2
回顾性分析2014年2月至2020年1月我院心血管外科同一治疗组收治并接受非体外循环冠状动脉旁路移植术的急性心肌梗死患者43例(治疗组)，其中女性5例，男性38例，年龄(62.40±9.14)岁，左主干病变20例(46.5%)，多支病变23例(53.5%)，ST段抬高型心肌梗死(ST-segment elevation myocardial infarction，STEMI)8例(18.6%)，非ST段抬高型心肌梗死(NSTEMI)35例(81.4%)。在同期行非体外循环冠状动脉旁路移植术的非急性心肌梗死患者中随机选择46例作为对照组，其中女性8例，男性38例，年龄(62.40±9.14)岁
左主干病变25例(54.3%)，多支病变21例(45.7%)。分析两组患者术中、术后第1天及住院期间临床指标。
结果
2
治疗组中2例术中发生室颤转为体外循环下手术，术后1例死于心律失常，1例发生脑梗死。对照组中无死亡病例，1例发生脑梗死。两组患者术中、术后第1天、住院期间临床指标差异均无统计学意义。
结论
2
非体外循环冠状动脉旁路移植术治疗急性心肌梗死安全、有效。
Abstract
Objective
2
To evaluate the clinical efficacy of off-pump coronary artery bypass grafting in the treatment for acute myocardial infarction.
Methods
2
A total of 43 patients with acute myocardial infarction who were given off-pump coronary artery bypass grafting (OPCAB) surgery by the same medical team in Department of Cardiovascular Surgery of our hospital from February 2014 to January 2020 were enrolled as the treatment group
and their clinical data were collected and retrospectively analyzed. Among them
there were 5 females and 38 males
at a mean age of 62.40±9.14 years
20 cases (46.5%) of left main coronary artery disease and 23 cases (53.5%) of multi-vessel disease
and 8 cases (18.6%) of ST-segment elevation myocardial infarction (STEMI)
and 35 cases (81.4%) of non-ST-segment elevation myocardial infarction (NSTEMI). Another 46 patients of non-acute myocardial infarction who also underwent OPCAB during the same period were randomly selected and assigned into the control group
including 8 females and 38 males (62.40±9.14 years old)
and 25 cases (54.3%) of left main disease and 21 cases (45.7%) of multi-vessel disease. The clinical indicators during the operation
at the first day following operation
and during the hospitalization period were collected and compared between the 2 groups.
Results
2
In the treatment group
2 patients were converted to operation under cardiopulmonary bypass because of intraoperative ventricular fibrillation
1 patient died of arrhythmia
and 1 experienced postoperative cerebral infarction. In the control group
there was no death and 1 case developed cerebral infarction. However
as for the clinical indicators during the operation
at the first day following operation
and during hospitalization
there were no significant differences between the 2 groups.
Conclusion
2
Off-pump coronary artery bypass grafting is safe and effective for patients with acute myocardial infarction.
关键词
Keywords
references
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