武汉亚洲心脏病医院ICU

               罗勇 许卫江 刘彬 肖红艳

【摘要】目的：探讨急诊冠状动脉搭桥术E-CABG围手术期处理措施的特点。方法：回顾分析42例E-CABG患者的术前病情、术前准备、围手术期的处理措施，总结急诊搭桥围手术期的处理特点。结果：42例抢救成功，其中非体外循环下搭桥18例、体外循环下搭桥24例，手术成功率为100％。术前及术后7例放置IABP，放置时间平均40.0士8.0h，机械通气平均16.3士7.5h，术后24h心包纵隔引流1000士430ml，其中合并严重并发症28例。结论：E-CABG使急性心肌梗死、严重左主干病变、行冠状动脉造影发生意外及PCI不能开通相关犯罪血管的患者受益。不同类型的冠心病急症采用不同的手术方式，可获得较高的成功率。

【关键词】急诊冠状动脉搭桥术 围手术期

【Abstract】 Objective 士8.0h, the duration of mechanical ventilation was 16.3士7.5h, the drainage volume in the first 24 hour after operation was 1000士430ml, 28 patients have suffered severe complications. Conclusion: Patients with acute coronary syndrome can benefit from E-CABG. Discuss the characteristic of therapy before and after emergency coronary artery bypass graft (E-CABG).Method Review the medical history,preoperative preparation and the therapy before and after operation of 42 patients who have received E-CABG, and summerize the characteristic of therapy before and after E-CABG.Result All of the 42 patients have been saved successfully, 18 patients received the operation without extracorporeal circulation, and the other 24 patients received the operation with extracorporeal circulation, the achievement ratio of the operation was 100%, 7 patients have received IABP implantation before and after operation, the duration of implantation was 40.0

【Key words】emergency coronary artery bypass graft perioperative period