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报告16例冠状动脉旁路移植术,本前左室功能中度以上损害(EF≤45%)占68.8%,严重损害(EF<30%)占43.7%。14例冠心病平均旁路数3.02支/人;1例先天性心脏病伴右冠状动脉变异及1倒马凡氏综合征各搭桥1支。6例采用左乳内动脉与左前降支搭桥。全组无手术死亡及术后近期死亡,术后心功能均明显改善,症状完全缓解。11例已于术后2~8个月恢复全日工作。对术中可能遇到的意外情况及处理对策进行了讨论。
Sixteen cases of coronary artery bypass grafting were reported. 68.8% of the patients had moderate or severe left ventricular dysfunction (EF≤45%) and 43.7% of the patients had serious damage (EF <30%). 14 cases of coronary heart disease average number of bypass 3.02 / person; 1 case of congenital heart disease with right coronary artery disease and 1 inverted Marfan syndrome bypass each one. 6 cases of left internal mammary artery and left anterior descending branch bypass. The whole group had no operative death and immediate postoperative death, the cardiac function improved significantly and the symptoms were completely relieved. Eleven patients had resumed full-time work 2 to 8 months after surgery. We discussed the possible accident and the countermeasures in the operation.