再次冠状动脉旁路移植术25例总结
详细信息Re-operative coronary artery bypass grafting in 25 patients
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摘要: 目的 总结再次冠状动脉旁路移植术(Re-CABG)治疗冠心病的临床经验及手术效果.方法 1997年3月～2007年5月共完成Re-CABG手术25例,男22例,女3例;年龄50～72岁,平均(62.5±8.1)岁;2次手术时间间隔3～109个月,平均(48.7±35.2)个月. 体外循环Re-CABG手术17例,不停跳非体外循环Re-CABG手术8例.结果 全组25例患者恢复顺利,无手术死亡,无心肌梗死,心绞痛症状消失.术后随访8～90个月,平均(38.7±30.6)个月,无心绞痛复发,无冠心病相关事件发生.失访4例.结论 正确掌握手术指征和时机,合理应用各种技术和方法 及良好围手术期管理, Re-CABG可以取得满意的临床疗效.
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