Off-pump coronary artery bypass grafting versus on-pump coronary artery bypass grafting: which is better in patients with chronic obstructive pulmonary disease? |
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作者姓名: | Zhu YB Xu JP Liu ZY Yang DN Li XD Li HY |
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作者单位: | [1]DepartmentofThoracicandCardiovascularSurgery,AffiliatedZhong-daHospital,SoutheastUniversity,Nanjing210009,China [2]DepartmentofCardiovascularSurgery,CardiovascularInstitute,FuwaiHospital,PUMC&CAMC,Beijing100037,China |
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摘 要: | To evaluate the clinic outcome of off-pump coronary bypass grafting (OPCABG) of patients with coronary heart disease and chronic obstructive pulmonary disease, we collected and analyzed 1998-2002 data on 28 patients with these two diseases who had received off-pump coronary bypass operation in our hospital, and compared with data on those who also had the same two diseases but received on-pump coronary artery bypass at same time. There were no operation-related death;one died of respiratory failure 14 days after operation while staying in hospital; there were more respiratory complications in the conventional coronary artery bypass grafting group (CCABG) than in the OPCABG group; and the PaO2/FiO2 in the CCABG group was higher than that in the OPCABG group during operation because of CPB, but lower than that in the OPCABG group 6-12 hours after operation. OPCABG seemed more suitable than CCABG for coronary artery disease patients with chronic obstructive pulmonary disease due to less damage to their oxygen-exchange capability and the fewer respiratory complications.
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关 键 词: | 冠状动脉旁路移植 慢性梗阻性肺部疾病 冠状动脉 呼吸功能 闭泵旁路 开泵旁路 |
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