不停跳冠脉搭桥心肌保护技术在冠脉搭桥合并瓣膜手术中的应用

摘要

The myocardial protection technique of off-pump coronary artery bypass grafting ( OPCABG ) has been applied to the coronary artery bypass grafting (CABG) with heart valve surgery.This study is aimed at determining its clinical effect .A retrospective analysis design was adopted .39 patients were recruited .All patients ’ surgeries went smoothly but one ,whose blood pressure was in poor control after surgery and then returned to normal after as -sisted with intra-aortic balloon counterpulsation (IABP).Others had stable vital signs and circulation .Finally,all pa-tients discharged safely .Significant improvement can be seen during 3 months’ follow-up.Applying OPCABG to CABG with heart valve surgery has been proved effective in clinic .%回顾性分析39例冠脉搭桥（ CABG ）合并瓣膜手术中，应用不停跳冠脉搭桥（OPCABG）心肌保护技术的临床效果。所有患者手术顺利，1例患者术后血压维持不佳，主动脉内球囊反搏（ IABP ）辅助后恢复良好，余监护室及病房生命体征平稳、循环稳定，均顺利康复出院，术后平均随访3个月心功能（ NYHA）明显改善。在CABG合并瓣膜手术中应用OPCABG心肌保护技术具有确切、良好的临床效果。