Özülkü Mehmet, Aygün Fatih
Konya Research and Medical Center, Başkent University, Turkey.
Rev Bras Cir Cardiovasc. 2015 Jul-Aug;30(4):466-73. doi: 10.5935/1678-9741.20150029.
The present study investigated effect of using pump on postoperative pleural effusion in patients who underwent coronary artery bypass grafting.
A total of 256 patients who underwent isolated coronary artery bypass grafting surgery in the Cardiovascular Surgery clinic were enrolled in the study. Jostra-Cobe (Model 043213 105, VLC 865, Sweden) heart-lung machine was used in on-pump coronary artery bypass grafting. Off-pump coronary artery bypass grafting was performed using Octopus and Starfish. Proximal anastomoses to the aorta in both on-pump and off-pump techniques were performed by side clamps. The patients were discharged from the hospital between postoperative day 6 and day 11.
The incidence of postoperative right pleural effusion and bilateral pleural effusion was found to be higher as a count in Group 1 (on-pump) as compared to Group 2 (off-pump). But the difference was not statistically significant [P>0.05 for right pleural effusion (P=0.893), P>0.05 for bilateral pleural effusion (P=0.780)]. Left pleural effusion was encountered to be lower in Group 2 (off-pump). The difference was found to be statistically significant (P<0.05, P=0.006).
Under the light of these results, it can be said that left pleural effusion is less prevalent in the patients that underwent off-pump coronary artery bypass grafting when compared to the patients that underwent on-pump coronary artery bypass grafting.
本研究调查了使用体外循环泵对接受冠状动脉旁路移植术患者术后胸腔积液的影响。
本研究纳入了心血管外科门诊256例接受单纯冠状动脉旁路移植术的患者。体外循环冠状动脉旁路移植术使用Jostra - Cobe（型号043213 105，VLC 865，瑞典）心肺机。非体外循环冠状动脉旁路移植术使用章鱼和海星系统进行。体外循环和非体外循环技术中与主动脉的近端吻合均采用侧钳完成。患者在术后第6天至第11天出院。
发现第1组（体外循环组）术后右侧胸腔积液和双侧胸腔积液的发生率在计数上高于第2组（非体外循环组）。但差异无统计学意义[右侧胸腔积液P>0.05（P = 0.893），双侧胸腔积液P>0.05（P = 0.780）]。第2组（非体外循环组）左侧胸腔积液发生率较低。差异有统计学意义（P<0.05，P = 0.006）。
根据这些结果，可以说与接受体外循环冠状动脉旁路移植术的患者相比，接受非体外循环冠状动脉旁路移植术的患者左侧胸腔积液的发生率较低。
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