CAJ | 학술논문

目的：探究体外循环下心脏不停跳冠状动脉搭桥术在心功能低下患者中的应用与效果。方法选取我院2012年1月～2015年1月收治的53例进行体外循环下心脏不停跳冠状动脉搭桥手术治疗的心功能低下患者作为研究对象，对其手术效果进行回顾分析。结果53例患者平均体外循环时间为（71±13）min，移植桥血管数量为（2.7±0.8）根，且83%患者手术中运用了左乳内动脉。此外，手术治疗期间3例患者发生死亡，5例患者出现肾功能不全，另有3例患者出现肺部感染，患者平均住院治疗时间为（15±5.0）d；术后1年随访调查中，1例患者因严重心律失常发生死亡，患者左心室射血分数为（39±8.0）%，较手术前有提升变化，P＜0.05，差异具有统计学意义。结论体外循环下心脏不停跳冠状动脉搭桥术在严重心功能低下患者的治疗中，具有较为突出的安全性与可行性。
목적：탐구체외순배하심장불정도관상동맥탑교술재심공능저하환자중적응용여효과。방법선취아원2012년1월～2015년1월수치적53례진행체외순배하심장불정도관상동맥탑교수술치료적심공능저하환자작위연구대상，대기수술효과진행회고분석。결과53례환자평균체외순배시간위（71±13）min，이식교혈관수량위（2.7±0.8）근，차83%환자수술중운용료좌유내동맥。차외，수술치료기간3례환자발생사망，5례환자출현신공능불전，령유3례환자출현폐부감염，환자평균주원치료시간위（15±5.0）d；술후1년수방조사중，1례환자인엄중심률실상발생사망，환자좌심실사혈분수위（39±8.0）%，교수술전유제승변화，P＜0.05，차이구유통계학의의。결론체외순배하심장불정도관상동맥탑교술재엄중심공능저하환자적치료중，구유교위돌출적안전성여가행성。
Objective To explore the Application and effect of off-pump beating heart coronary artery bypass surgery in patients with cardiac dysfunction.MethodsSelected 53 cases with beating heart bypass surgery for coronary artery bypass heart dysfunction from January 2012 to January 2015 in our hospital as research subjects, were retrospectively analyzed the effect of surgery.ResultsT53 patients, mean CPB time was (71±13 ) minutes , the number of vascular grafts bridge (2.7±0.8 ) root, and 83% of patients with surgery using the left internal mammary artery. In addition,during surgery Three patients died, five cases of patients with renal insufifciency, and another three cases of patients with pulmonary infection, with an average hospitalization time was (15±5.0) days, after one year follow-up survey, One patient died due to severe arrhythmia, left ventricular ejection fraction (39±8.0)%, compared with before surgery change has been raised,P<0.05, had difference statistically signiifcant.