急诊冠状脉搭桥术早期疗效-分析

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1、⸩຿ᄺԡ䆎᭛ᗹ䆞⢊ࡼ㛝ᨁḹᴃᮽᳳ⭫ᬜߚᵤ3.5ᕙᙷ㗙⫳ԧᕕᑇ〇ˈ㸔⌕ࡼ࡯ᄺ〇ᅮৢˈ乎߽᩸䰸ԧ໪ᕾ⦃ˈҨ㒚Ẕᶹ߯䴶᳝᮴ߎ㸔⚍ঞҨ㒚ℶ㸔ˈ䗤ሖℶ㸔ᑊ݇㛌DŽ㒧ᵰ˖䗮䖛ᇍᴃࠡᴃৢ৘乍ᣛᷛ˄CrˈPCWPˈCVPϢLVDd˅䖯㸠↨䕗ˈP<0.05,䇈ᯢᴃࠡᴃৢ৘乍᭄᥂ⱘᏂᓖ᳝㒳䅵ᄺᛣНDŽ݊ЁᎺᖗᅸ㟦ᓴ᳿ᳳݙᕘ˄LVDd˅ᴃৢ䕗ᴃࠡ๲໻ˈ䇈ᯢᴃৢᎺᖗᅸ㟦ᓴࡳ㛑᳝ᬍ୘˗㚎↯㒚㸔ㅵἨय़˄PCWP˅ǃЁᖗ䴭㛝य़˄CVP˅ᴃৢ䕗ᴃ᳝ࠡ䰡Ԣ˗㙠䜤˄Cr˅ᴃৢ䕗ᴃࠡछ催ˈ݊Ё㙠䜤Ϲ䞡छ催䳔㸠㸔⎆䗣ᵤ᳝20՟DŽᴀ㒘ᙷ㗙ড়ᑊ㊪ሓ⮙62՟ˈ催㸔य़86՟ˈ催㛖㸔⮛

2、104՟ˈ㛥㸔ㅵᛣ໪11՟ˈᖗ㙠ṫ⅏৆115՟ˈ᳔䖥থ⫳ᖗ㙠ṫ⅏143՟DŽ㛝ᎺЏᑆ⮙ব៪ড়ᑊᎺЏᑆ⮙ব83՟ˈࠡ䰡ᬃ㋏㒳148՟ˈಲᮟᬃ㋏㒳140՟ˈে㋏㒳141՟DŽᴀ㒘ড়ᑊᎺᅸᅸຕ⯸12՟ˈ㚎ࡼ㛝催य़41՟ˈѠᇪ⪷⣁じ˄MS˅1՟ˈѠᇪ⪷݇䯁ϡܼ˄MI˅85՟ˈЏࡼ㛝⪷݇䯁ϡܼ˄AI˅36՟ˈϝᇪ⪷݇䯁ϡܼ˄TI˅54՟DŽᴃࠡ㙠䜤ᓖᐌ70՟DŽᴀ㒘ᙷ㗙Ёˈ᳝41՟೼ԧ໪ᕾ⦃ᬃᣕϟ䖯㸠ᨁḹᴃ˄݊Ё˖32՟೼ᖗ㛣ذ䏇ৢ᠟ᴃˈ9՟೼ԧ໪ᕾ⦃ᖗ㛣ϡذ䏇ϟ᠟ᴃ˅ˈԧ໪ᕾ⦃ᯊ䯈Ў72-519min,छЏࡼ㛝䰏ᮁᯊ䯈Ў21-330min˗঺᳝12

3、3՟ᰃ೼䴲ԧ໪ᕾ⦃ϟ䖯㸠ᨁḹᴃDŽೈᴃᳳՓ⫼Џࡼ㛝ݙ⇨ಞড᧣㺙㕂˄IABP˅77՟˄݊Ё˖ᴃࠡỡܹ70՟ˈᴃЁỡܹ3՟ˈᴃৢỡܹ4՟˅;ᴃЁৠᳳ㸠Џࡼ㛝⪷˄AV˅᠟ᴃ5՟ˈѠᇪ⪷˄MV˅᠟ᴃ12՟ˈϝᇪ⪷˄TV˅᠟ᴃ12՟ˈᎺᖗᅸ˄LV˅ᅸຕ⯸ߛ䰸㸹ᴃ12՟ˈᅸ䯈䱨˄VSD˅㸹ᴃ10՟DŽᴃৢICUՓ⫼㚒Ϟ㝎㋴46՟ˈএ⬆㚒Ϟ㝎㋴28՟ˈݡ⃵ᓔ㛌ℶ㸔ᴃ16՟ˈᴃৢথ⫳Ԣᖗᥦ46՟ˈೈᴃᳳᖗṫ2՟ˈᮄথAF˖40՟ˈᮄথ᠓ᅸӴᇐ䰏⒲3՟ˈᖗ䏇偸ذ៪ᅸ乸26՟ˈᖗࣙ฿า15՟ˈ㙶ԧߛষᛳᶧ9՟ˈ㛌䚼ߛষᛳᶧ9՟ˈ䋹㸔⮛3՟ˈᣕ㓁ᯣ䗋໮Ѣ24

4、ᇣᯊ11՟ˈदЁ2՟ˈ⇨ㅵߛᓔ4՟ˈ䕙ࡽ䗮⇨䍙䖛24ᇣᯊ60՟ˈ㚎♢26՟ˈ㚒㹄44՟ˈᡫޱᑊথ⮛6՟ˈ㚗㙴䘧ᑊথ⮛13՟ˈ໮㋏㒳㹄チ10՟DŽೈᴃᳳ⅏ѵ22՟ˈऴ13.4%ˈᒋ໡ߎ䰶142՟DŽ㒧䆎ᗹ䆞⢊ࡼ㛝ᨁḹ᠟ᴃᰃ亢䰽䕗໻ˈԚা㽕䗖ᑨ䆕䗝ᢽᕫᔧˈᇍᗹᗻᖗ㙠ṫ⅏ǃᎺЏᑆϹ䞡⣁じ੠PTCA༅䋹ⱘᙷ㗙㸠ECABGᰃᅝܼǃ᳝ᬜⱘˈℷ⹂䗝ᢽ᠟ᴃᯊᴎǃ᠟ᴃᮍᓣঞཹ୘ⱘೈᴃᳳ໘⧚ᰃᦤ催ECABG᠟ᴃ៤ࡳ⥛ⱘ݇䬂DŽV⸩຿ᄺԡ䆎᭛ᗹ䆞⢊ࡼ㛝ᨁḹᴃᮽᳳ⭫ᬜߚᵤ݇䬂䆡˖ᗹ䆞˗⢊ࡼ㛝ᮕ䏃⿏ỡᴃ˗ᑊথ⮛˗ೈᴃᳳVI⸩຿ᄺԡ䆎᭛ᗹ䆞⢊ࡼ㛝ᨁḹᴃᮽᳳ⭫ᬜߚᵤE

5、arlyOutcomesofEmergencycoronaryarterybypassgraftingMajor˖CardiovascularsurgeryName˖ChenPei-JinSupervisor˖ZhengshaoyiABSTRACTBackgroud˖CADistheabbreviationofCoronaryarterydisease,italsocalledcoronaryatheroscleroticheartdiseaseandIschemicheartdisease.Itmeansthearterieswh

6、ichprovidenutritionstotheheartcellshavesevereatherosclerosisorvasospasm,andthethrombosiswillmakethearteriesbecomenarroweventobeobstructedˈandthenmyocardialinfarctionwillhappen.Withtheimprovementofpeople'slivingstandardandlifestylechanges,Coronaryatheroscleroticheartdis

7、easeintheelderlyhasbecomeaseriousriskoflife.coronaryarterybypassgrafting(CABG)iscurrentlyacommonandeffectivemethodfortheacutemyocardialinfarctiontreatment.Itcaneffectivelyimprovethefunctionofmyocardialischemiaandrecovery,alleviateangina,improvelifequalityandprolonglife

8、.Althoughwithtechnicalandthrombolytictherapyinthedevelopmentofacutemyocardialinfarction(AMI),thetreatmentofcoronaryhe