Jansen K J, McFadden P M
Heart Lung. 1986 Jan;15(1):48-54.
The IMA is being utilized with increasing frequency as the graft of choice for myocardial revascularization. Certain postoperative management requirements differ in patients with the internal mammary bypass, which are often challenging. Because it is important that the nursing staff have a thorough understanding of the peculiarities of postoperative care in patients with IMA grafts, this article was prepared to review the anatomic, pathologic, physiologic, and clinical aspects of the IMA in myocardial revascularization. A retrospective comparative chart review of patients with IMA grafts and SVGs was also performed to better define the specific postoperative nursing problems of hemorrhaging, pulmonary support, and pain control that are encountered in these patients.
随着心肌血运重建首选移植物的应用频率不断增加，胸廓内动脉（IMA）正被越来越频繁地使用。接受胸廓内动脉搭桥手术的患者术后有一些特殊的管理要求，这些要求往往颇具挑战性。由于护理人员全面了解胸廓内动脉移植物患者术后护理的特殊性非常重要，因此撰写本文以回顾胸廓内动脉在心肌血运重建中的解剖、病理、生理和临床方面。还对胸廓内动脉移植物和大隐静脉移植物患者进行了回顾性对比图表分析，以更好地明确这些患者术后出现的出血、肺部支持和疼痛控制等具体护理问题。
