Clinical study of Coronary artery bypass grafting in the elderly
10.3760/cma.j.issn.1008-6706.2010.17.008
- VernacularTitle:高龄患者冠状动脉旁路移植术的临床研究
- Author:
Shen ZHANG
;
Lianhe WU
;
Dehai CHEN
;
Guodong GAO
;
Haibo CAI
;
Peixi ZHANG
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Cardiac surgery procedures
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(17):2320-2321
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics of operation,curative effects and operative management in elderly patients of age older than 70 years with coronary heart disease receiving coronary artery bypass grafting.Methods 108 elderly patients of age older than 70 years with coronary heart disease were divided into two groups:OPCAB group(n = 76) and CCABG group (n = 32) The clinical curative effects, early postoperative mortality and complications of the two groups were compared and analyzed respectively. Results OPCAB group was better than CCABG group in these series(P ＜ 0.05): The early postoperative mortality (5.8%, 11.2%)、 myocardial infarction (2.9%, 10.6%), respiration failure(8.7%, 17.5%), pulmonary complications: (11.8%, 31.5%) 、complication of CNS:(1.8% ,9.8%) 、acute renal failure(1.8% ,6.2%) ,the time of intubation: (9.3 ±4.5), (25.4 ±7.5) h,ICU stay(3.1 ± 1.8) ,(7.1 ±2.9) d,hospital stay(15.5 ±8.6) ,(26.4 ±8.6)d. Conclusion OPCAB could reduce operative mortality and complication, it should be the first option for the surgery of elder patients with coronary heart disease;surgical skills and correct perioperative management were the key factors to assure surgical outcome.
