血液透析的终末期肾病患者的非体外循环冠状动脉搭桥术
Off-pump coronary artery bypass grafting in patients with end-stage renal disease on hemodialysis.
作者信息
Tashiro Tadashi, Nakamura Katsuhiko, Morishige Noritsugu, Iwakuma Akio, Tachikawa Yutaka, Shibano Ryuichi, Iwahashi Hidehiko, Zaitsu Ryuzi, Hayashida Yoshio, Koga Satoshi, Takeuchi Kazuma, Kimura Michio
机构信息
Department of Cardiovascular Surgery, University of Fukuoka School of Medicine, Fukuoka, Japan.
出版信息
J Card Surg. 2002 Sep-Oct;17(5):377-82. doi: 10.1111/j.1540-8191.2001.tb01162.x.
BACKGROUND
Coronary artery bypass grafting (CABG) for hemodialysis patients is high risk compared with other patient groups. The aim of this study was to analyze the potential benefits of off-pump CABG for hemodialysis patients.
METHODS
From April 1994 through December 2000, 26 hemodialysis patients underwent CABG. The off-pump group consisted of 15 patients operated on without a pump and the on-pump group consisted of 11 patients operated on with a pump.
RESULTS
There was no difference between the two groups with regard to mean age, mean number of diseased vessels and mean number of anastomoses per patient. No patient died in either group during hospitalization. The postoperative complication rate was low in both groups. The postoperative ventilation time was shorter in the off-pump group (8.5 vs 26.1 hours, p < 0.001, respectively [off-pump group vs on-pump group]). The length of ICU stay was shorter in the off-pump group (1.7 vs 3.5 days, p = 0.01, respectively [off-pump group vs on-pump group]). The medial cost was lower in the off-pump group (26,200.80 dollars versus 44,024.10 dollars p = 0.0001 respectively [off-pump group vs on-pump group]).
CONCLUSIONS
Off-pump CABG provided excellent less-invasive cardiac surgical results for dialysis patients.
背景
与其他患者群体相比，为血液透析患者进行冠状动脉旁路移植术（CABG）风险较高。本研究的目的是分析非体外循环冠状动脉旁路移植术对血液透析患者的潜在益处。
方法
从1994年4月至2000年12月，26例血液透析患者接受了冠状动脉旁路移植术。非体外循环组由15例未使用体外循环进行手术的患者组成，体外循环组由11例使用体外循环进行手术的患者组成。
结果
两组在平均年龄、平均病变血管数量和每位患者平均吻合口数量方面无差异。两组患者在住院期间均无死亡。两组术后并发症发生率均较低。非体外循环组术后通气时间较短（分别为8.5小时和26.1小时，p<0.001[非体外循环组对比体外循环组]）。非体外循环组重症监护病房（ICU）住院时间较短（分别为1.7天和3.5天，p = 0.01[非体外循环组对比体外循环组]）。非体外循环组的平均费用较低（分别为26,200.80美元和44,024.10美元，p = 0.0001[非体外循环组对比体外循环组]）。
结论
非体外循环冠状动脉旁路移植术为透析患者提供了创伤较小的出色心脏手术结果。
Zotero 插件