Off-pump coronary artery bypass grafting versus on-pump coronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease?
Ya-Bing Zhu, Jian-Ping Xu, Zhi-Yong Liu, Dan-Ning Yang, Xü-Dong Li, Hong-Yan Li
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非体外循环冠状动脉旁路移植术与非体外循环冠状动脉旁路移植术:对慢性阻塞性肺疾病患者哪种更好?
为了评价冠心病合并慢性阻塞性肺疾病患者行非体外循环冠状动脉搭桥术(OPCABG)的临床效果,我们收集了我院1998-2002年间行非体外循环冠状动脉搭桥术的28例冠心病合并慢性阻塞性肺疾病患者的资料进行分析,并与同时行非体外循环冠状动脉搭桥术的冠心病合并慢性阻塞性肺疾病患者的资料进行比较。无手术相关死亡;1例术后14天住院期间死于呼吸衰竭;常规冠状动脉旁路移植术(CCABG)组呼吸系统并发症发生率高于OPCABG组;CCABG组术中PaO2/FiO2因CPB原因高于OPCABG组,但术后6 ~ 12 h低于OPCABG组。OPCABG似乎比CCABG更适合冠心病合并慢性阻塞性肺疾病患者,因为OPCABG对其氧交换能力的损害较小,呼吸系统并发症较少。
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