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背景:本研究旨在比较心脏不停跳与常规的冠状动脉搭桥(CABG)方法治疗急诊指征下的急性冠状动脉综合征的效果。方法和结果:评价了2000年1月至2005年9月638例通过胸骨正中切口行急诊CABG的急性冠状动脉综合征(ACS)患者。用倾向性评分分析预测患者接受不停跳(BH)(n=240)或心脏停跳(CA)(n=398)方案的可能性。531例患者的血流动力学稳定,107例患者出现了心源性休克(CS)。
BACKGROUND: This study aimed to compare the efficacy of cardioplegia and conventional coronary artery bypass grafting (CABG) in the treatment of acute coronary syndrome under emergency indications. Methods and Results: A total of 638 patients with acute coronary syndrome (ACS) who underwent emergency CABG through the mid-sternotomy from January 2000 to September 2005 were evaluated. Propensity score analysis was used to predict the likelihood of patients receiving beating (BH) (n = 240) or cardiac arrest (CA) (n = 398). The hemodynamics of 531 patients were stable, and cardiogenic shock (CS) occurred in 107 patients.