不停跳冠状动脉旁路移植术(OPCAB)术中临时紧急改为体外循环下进行手术的发生率在1%~20%之间[1],这种紧急状态即指血流动力学的不稳定,如发生心室颤动,一般预后较差,特别是合并肾功能不全,其发生率大大增加。笔者对肾功能不全患者不停跳冠脉搭桥术中室颤成功抢救1例分析如下。1 Urgent-switched coronary artery bypass grafting (OPCAB) intraoperative emergency temporarily replaced by cardiopulmonary bypass surgery occurred in the rate of 1% to 20% [1], this emergency refers to the hemodynamic is not Stable, such as the occurrence of ventricular fibrillation, the general prognosis is poor, especially with renal insufficiency, the incidence increased significantly. The author of patients with renal insufficiency coronary artery bypass surgery in the successful rescue of a case analysis of 1 case as follows. 1