5年孤立冠状动脉搭桥手术经验的结果:阿塞拜疆第一个区域心脏中心- Ganja Merkezi Klinika

Vugar Gapagov
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引用次数: 0

摘要

目的:在阿塞拜疆和全世界,冠状动脉疾病是死亡的核心原因之一。尽管经皮介入治疗的发展,冠状动脉搭桥手术仍然是现代医学史上最重要的外科手术之一,与大手术相比,它很可能延长了更多的生命,并提供了更显著的症状缓解。本研究的目的是统计显示,我们诊所的手术并发症的百分比接近世界惯例。2013年至2018年期间,在Ganja中心诊所进行了836例孤立冠状动脉搭桥手术。结果:362例(43.5%)患者住院时间为5天,58例(6.9%)患者住院时间为10天。术后发生缺血性脑血循环障碍15例(1.8%)。26例(3.1%)患者出现急性肾衰竭,25例(3%)患者出现急性肺衰竭。7例(0.8%)患者出现急性肝衰竭。14例(1.6%)患者使用主动脉内球囊泵。术后13例(1.5%)患者出现心肌梗死。不幸的是,17例(2%)患者在住院期间死亡。115例(13.7%)患者有不同类型的心律失常。11例(1.3%)因胸骨溃疡接受翻修。纵隔出血19例(2.2%)。冠状动脉搭桥手术仍然是现代医学史上最重要的外科手术之一。我们诊所的结果接近世界惯例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcomes of 5 years experiences for isolated coronary bypass surgery: the first regional cardiac center in Azerbaijan- Ganja Merkezi Klinika
Aim: In Azerbaijan and in the world, coronary artery disease is one of the core causes of death. Despite the development of percutaneous interventions, Coronary Bypass surgery continues to be one of the most crucial surgical procedures in modern medical history and has most likely extended more lives and provided more significant symptomatic relief than significant operations.The aim of this study was to show statistically, the percentage of complications of operations in our clinic was close to world practice Material and method. Between 2013 and 2018, 836 isolated Coronary Bypass surgeries were performed at Ganja Central Clinic. The results of these operations conducted in the study were presented Results: The length of stay of 362 (43.5%) patients was 5 days, and the length of stay of 58 (6.9%) patients was 10 days. 15 (1.8%) patients had an ischemic disorder of cerebral blood circulation in the postoperative period. 26(3.1%) patients developed acute kidney failure, and 25(3%) patients had acute lung failure. Acute liver failure was noted in 7 (0.8%) patients. An intra-aortic balloon pump was used in 14 (1.6%) patients. Postoperative MI was noted in 13 (1.5%) patients. Unfortunately, 17 (2%) patients died during hospitalization. Different types of arrhythmias were noted in 115 (13.7%) patients. 11(1.3%) underwent revision due to sternum ulcer. The mediastinum was inspected since 19 (2.2%) patients were bleeding. Conclusion. Coronary Bypass surgery continues to be one of the most crucial surgical procedures in modern medical history. Our results in our clinic was close to world practice.
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