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[温血停搏液与常温体外循环下冠状动脉搭桥术]

[Coronary artery bypass grafting by warm blood cardioplegia and normothermic cardiopulmonary bypass].

作者信息

Hibi M, Mori S, Tomari S, Murakami F, Matsuura A, Yoshida K

机构信息

Department of Surgery, Aichi Prefectural Owari Hospital, Ichinomiya, Japan.

出版信息

Kyobu Geka. 2000 May;53(5):387-9.

Abstract

Warm blood cardioplegia and normothermic cardiopulmonary bypass (CPB) have been used in coronary artery bypass grafting (CABG). The method of myocardial protection was intermittent combined antegrade and retrograde warm blood cardioplegia with terminal warm blood cardioplegia. We performed elective CABG in 30 patients above the age of 70 years (elderly group). These patients were compared with 30 patients below 70 years who underwent elective CABG (young group). No significant differences were observed about the preoperative data between two groups. No significant differences were obtained in the postoperative cardiac function, cerebral or renal complication between two groups. Warm blood cardioplegia and normothermic CPB were not associated with adverse effects on postoperative recovery in elderly as well as young patients. We may conclude that warm blood cardioplegia with normothermic CPB is a safe procedure for CABG in elderly as well as young patients.

摘要

温血停搏液和常温体外循环(CPB)已用于冠状动脉旁路移植术(CABG)。心肌保护方法为间歇性顺行和逆行温血停搏液联合终末温血停搏液。我们对30例70岁以上患者(老年组)进行了择期CABG。将这些患者与30例接受择期CABG的70岁以下患者(年轻组)进行比较。两组术前数据无显著差异。两组术后心功能、脑或肾并发症方面无显著差异。温血停搏液和常温CPB对老年和年轻患者术后恢复均无不良影响。我们可以得出结论,常温CPB下的温血停搏液对老年和年轻患者的CABG来说是一种安全的方法。

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