Influence of pleural cavity integrity on respiratory system after off-pump coronary artery bypass grafting
10.3760/cma.j.issn.1673-4904.2015.01.018
- VernacularTitle:胸膜腔完整性对非体外循环冠状动脉旁路移植术后呼吸系统的影响
- Author:
Longhui GUO
;
Jingchao ZHANG
;
Jing XU
;
Wenyi WANG
;
Liwen WU
;
Xiaodong SONG
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass,off-pump;
Pleural cavity;
Pulmonary atelectasis;
Respiratory insufficiency;
Pleural effusion
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(1):54-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of pleural cavity integrity on respiratory system after off-pump coronary artery bypass grafting (OPCABG),through comparing the respiratory complication after OPCABG.Methods One hundred and two patients were accepted OPCABG,among whom 49 patients' pleural cavities were opened (open group) and 53 patients' pleural cavities were closed (close group).The ventilation time,intensive care unit time,pleural effusion,the rate of atelectasis and respiratory failure after operation were compared between two groups.Results The ventilation time and intensive care unit time in open group were (40.3 ± 4.8) h and (78.3 ± 10.8) h,in open group were (28.6 ± 6.8) h and (54.8 ± 6.1) h.The ventilation time and intensive care time in open group were significantly longer than those in close group(P ＜ 0.01 or ＜ 0.05).The pleural effusion in open group was (800.0 ± 60.5) ml,in close group was (350.0 ± 28.6) ml.The pleural effusion in open group was significantly higher than that in close group (P ＜ 0.01).The rate of postoperative atelectasis and respiratory failure in open group were 36.7％(18/49) and 38.8％(19/49),in close group were 15.1％(8/53) and 18.9％(10/53).The rate of postoperative atelectasis and respiratory failure in open group were significantly higher than those in close group (P ＜ 0.01).Conclusions OPCABG is the operation in mediastinum.To avoid pleural cavity opened in OPCABG can reduce the incidence of postoperative respiratory complication.
