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患者有食管切除术、甲状腺功能减退症、高血压和 2 型糖尿病病史,行冠状动脉旁路移植术:病例报告。

Coronary artery bypass grafting in a patient with history of esophagectomy, hypothyroidism, hypertension and type 2 diabetes mellitus: a case report.

机构信息

Department of Cardiothoracic Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China.

出版信息

Chin Med J (Engl). 2012 Jun;125(11):2062-4.

Abstract

Coronary artery bypass grafting (CABG) is a mature procedure in treating patients with coronary artery diseases. We report a patient undergoing CABG had history of esophageal cancer and multiple underlying diseases: hypothyroidism, type 2 diabetes mellitus and hypertension. A CABG with midline sternotomy was safely performed in the presence of thyroid replacement therapy and intensive control of blood pressure and blood glucose. The patient recovered postoperatively with supportive care.

摘要

冠状动脉旁路移植术(CABG)是治疗冠状动脉疾病患者的成熟手术。我们报告了一例接受 CABG 的患者,他患有食管癌和多种潜在疾病:甲状腺功能减退症、2 型糖尿病和高血压。在甲状腺替代治疗和严格控制血压和血糖的情况下,安全地进行了正中胸骨切开术的 CABG。患者术后在支持性护理下恢复。

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