Perioperative management of coronary artery bypass grafting
- VernacularTitle:冠状动脉旁路移植手术患者的围术期处理
- Author:
Yanling SU
;
Jiatao FENG
;
Feng PENG
;
Jinfeng JIAN
- Publication Type:Journal Article
- Keywords:
Coronary heart disease;
Bypass grafting;
Perioperative care
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(12):1966-1967
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review curative effect of coronary artery bypass grafting(CABG).Methods 10 patients are off-pump CABG at normal body temperature.The rest 222 were done with CPB under general anesthesia,hypothermia.Before operation cardiopulmonary function Was adjusted.During operation the function of heart,brain and renal Was carefully protected.After operation blood slucose was controlled,inflammation was prevented and pulmonary physical therapy was given to all patients.Results 226 patients discharged recovery and free of angina pectoris completely.3 patients with CABG died of low cardiac output after operation.1 patient died of effects of protamine allergy.2 patients died of multiple organ failure.Follow-up has been done in 211 patients for 2 months to 3 years,all leading normal life and working.Conclusion Careful and standardized preoperative and pefioperative treatment is one of the factors of SUCCeSSful coronary artery bypass grafting.
