Acorda R, Kraus T, Casey P E
Cardiovascular Nurse Practitioners, Washington Adventist Hospital, Takoma Park, Maryland, USA.
Nurs Clin North Am. 2000 Dec;35(4):913-32.
Several new surgical approaches to coronary artery disease revascularization have been developed to avoid the adverse effects associated with conventional coronary bypass graft surgery and the use of cardiopulmonary bypass. This article describes some of these approaches, including minimally invasive direct coronary artery bypass graft surgery, port access surgery, hybrid of integrated coronary revascularization, radial artery and endoscopic vein harvesting, and transmyocardial revascularization. This article also identifies the nursing considerations for each of these surgeries.
为避免传统冠状动脉搭桥手术及体外循环带来的不良反应,已研发出几种新的冠心病血运重建手术方法。本文介绍了其中一些方法,包括微创直接冠状动脉搭桥手术、端口入路手术、综合冠状动脉血运重建杂交手术、桡动脉和内镜下静脉采集术以及心肌血运重建术。本文还确定了这些手术各自的护理注意事项。