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非体外循环冠状动脉血运重建术:对女性患者有潜在益处吗?

Off-pump coronary revascularization: A potential benefit for female patients?

作者信息

Arifi Ahmed A, Huen Erica, Franke J G, Najm Hani

机构信息

Cardiac Surgery Section, King Abdulaziz Cardiac Sciences, King Abdulaziz Medical City, King Saud Bin Abdulaziz University, Riyadh, Saudi Arabia.

出版信息

J Saudi Heart Assoc. 2009 Oct;21(4):199-207. doi: 10.1016/j.jsha.2009.10.001.

DOI:10.1016/j.jsha.2009.10.001
PMID:23960575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3727359/
Abstract

Coronary artery disease is one of the leading causes of illness for both men and women. However, women are 3 times more likely to die for coronary artery disease as they are of breast cancer. There are an increasing prevalence of coronary artery disease in women and thus facing the need for surgical revascularization. It has long being accepted that women carry a high risk of coronary surgery than men. Many investigators have suggested that female itself is predictive of poor outcome after on pump coronary surgery. We thought to search the litlature to investigate whether women who undergo off-pump surgery receive any benefits compared with women undergoing on-pump surgery.

摘要

冠状动脉疾病是男性和女性患病的主要原因之一。然而,女性因冠状动脉疾病死亡的可能性是患乳腺癌死亡可能性的3倍。女性冠状动脉疾病的患病率不断上升,因此面临着手术血运重建的需求。长期以来,人们一直认为女性进行冠状动脉手术的风险高于男性。许多研究人员认为,女性本身就预示着体外循环冠状动脉手术后预后不良。我们想通过检索文献来研究接受非体外循环手术的女性与接受体外循环手术的女性相比是否有任何益处。

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本文引用的文献

1
Comparing on-pump and off-pump coronary artery bypass grafting: numerous studies but few conclusions: a scientific statement from the American Heart Association council on cardiovascular surgery and anesthesia in collaboration with the interdisciplinary working group on quality of care and outcomes research.体外循环与非体外循环冠状动脉旁路移植术的比较:众多研究但结论寥寥:美国心脏协会心血管外科和麻醉委员会与护理质量和结果研究跨学科工作组联合发表的科学声明
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Pulmonary and renal function following cardiopulmonary bypass is associated with systemic capillary leak.体外循环后的肺和肾功能与全身毛细血管渗漏有关。
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3
Effect of risk-adjusted diabetes on mortality and morbidity after coronary artery bypass surgery.风险调整后的糖尿病对冠状动脉搭桥手术后死亡率和发病率的影响。
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Effect of off-pump and on-pump coronary artery bypass grafting on renal function.非体外循环与体外循环冠状动脉旁路移植术对肾功能的影响。
Ren Fail. 2005;27(2):183-8.
5
Pulmonary outcomes of off-pump vs on-pump coronary artery bypass surgery in a randomized trial.一项随机试验中,非体外循环与体外循环冠状动脉搭桥手术的肺部结局
Chest. 2005 Mar;127(3):892-901. doi: 10.1378/chest.127.3.892.
6
Hemodynamics in off-pump surgery: normal versus compromised preoperative left ventricular function.非体外循环手术中的血流动力学:术前左心室功能正常与受损情况对比
Eur J Cardiothorac Surg. 2005 Mar;27(3):488-93. doi: 10.1016/j.ejcts.2004.11.018.
7
Off-pump versus on-pump coronary artery bypass surgery and postoperative pulmonary dysfunction.非体外循环与体外循环冠状动脉搭桥手术及术后肺功能障碍
J Cardiothorac Vasc Anesth. 2004 Dec;18(6):698-703. doi: 10.1053/j.jvca.2004.08.004.
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9
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