Clinical contrast research of Coronary bypass operation under Extacorpeal circulation and Non-extracor-poeal circulation in patients over 70 years old with coronary triple-vessel disease
10.3969/j.issn.1006-5725.2017.23.025
- VernacularTitle:70岁以上冠脉三支病变的患者体外循环与非体外循环冠状动脉旁路移植术的临床对比研究
- Author:
Ximiao MA
1
Author Information
1. 570000,海口市人民医院心胸外一科
- Keywords:
riple-vessel disease;
70 years old;
t extacorpeal circulation;
non-extracorpoeal circula-tion;
coronary bypass operation
- From:
The Journal of Practical Medicine
2017;33(23):3949-3951
- CountryChina
- Language:Chinese
-
Abstract:
Objective Through compare the clinical data of two kinds of coronary bypass operation under Extacorpeal circulation and Non extracorpoeal circulation in patients over 70 years old with triple-vessel disease, and to provide the clinicalexperience. Methods Choose the patients hospitalized from Department of thoracic sur-gery 115 cases who had had coronary arterybypass grafting surgery from January 2014 to June 2017.there were 51 cases accepted Extracorporeal circulation surgery,Another 64 cases accepted Non-extracorpoeal circulation sur-gery.And make a comparative study of the clinical data of two kinds of coronary bypass operation. Results Com-pared with the Extacorpeal circulation group,the operation time,bypass vessel numb,the Thoracic Drainage were no statistic difference in Non-extracorpoealcirculation(P>0.05),The amount of transfused blood;Mechanical ven-tilation time,Hospitalized time in ICU;Postoperative complications;Total hospitalization time were Significantly lower than Extacorpeal circulation group,the difference was statistically significant(P < 0.05). Conclusions As the development of technology and the maturity of the operator′s experience,Off-pump coronary artery bypass graft-ing is safe and effective in elderly patients,which could be further promoted in clinical practice.