高龄患者体外与非体外循环冠状动脉旁路移植术后早期呼吸功能的比较

被引：4

作者：

谷天祥

房勤

张玉海

王春

喻磊

卢春茂

机构：

[1] 中国医科大学附属第一医院心外科

来源：

中国胸心血管外科临床杂志 | 2007年 / 05期

关键词：

体外循环冠状动脉旁路移植术; 非体外循环冠状动脉旁路移植术; 高龄; 呼吸功能;

D O I：

暂无

中图分类号：

R654.2 [心脏];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨体外循环冠状动脉旁路移植术(on-pump coronary artery bypass grafting,on-pump CABG)与非体外循环冠状动脉旁路移植术(off-pump coronary artery bypass grafting,off-pump CABG)对高龄(≥70岁)患者术后早期呼吸功能的影响。方法将2000年12月至2006年2月在我科接受on-pump CABG和off-pump CABG的高龄冠心病患者分为两组(on-pump组和off-pump组),每组30例,分别进行围术期动脉血气分析和肺功能的测量。结果两组患者术前肺功能和动脉血气指标差异无统计学意义;术后第1d和第3d红细胞压积(Hematocrit,Hct)值、术后1～3d动脉血氧分压值、术后第4～6d的用力肺活量(forced vital capacity,FVC)、第1秒用力呼气量(first second forced expiratory volume,FEV1.0)、一秒率(FEV1.0/FVC%)等on-pump组均低于off-pump组(P<0.05),术后平均带气管内插管时间和住院时间on-pump组长于off-pump组(P<0.05)。结论高龄冠心病患者施行off-pump CABG较on-pump CABG术后早期呼吸功能恢复良好。

引用

页码：330 / 333

页数：4

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