Off-pump coronary artery bypass grafting with coronary heart disease Perioperative Nursing.docVIP

Off-pump coronary artery bypass grafting with coronary heart disease Perioperative Nursing.doc

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Off-pump coronary artery bypass grafting with coronary heart disease Perioperative Nursing

Off-pump coronary artery bypass grafting with coronary heart disease Perioperative Nursing [Keywords:] coronary heart disease, cardiopulmonary bypass, coronary artery bypass surgery, nursing Off-pump coronary artery bypass surgery due to their trauma, and rapid recovery characteristics, by cardiac surgeons and patients welcomed. Because coronary artery disease in elderly patients is relatively heavy, and their poor functional reserve of various organs, how preoperative a chronic hypertension, diabetes, chronic obstructive pulmonary disease and other medical history, older, operative risk is relatively large, so do perioperative care is particularly important. our department in April 2002 ~ December 2008, completed 98 cases of non-cycling operations, of which more than 65 years 38 cases of coronary heart disease, postoperative results were satisfactory, we now report the perioperative care is as follows. 1 Materials and Methods 1.1 General Information The group of 38 cases, 36 male and 2 females, aged 65 to 80 years, mean age 67.0 + - 1.5 years old, weighing 52 ~ 84kg, average 66.5 +-0.5kg. 32 cases of preoperative diabetes, hypertension 34 cases, hyperlipidemia in 28 cases, 22 cases of myocardial infarction, 3 cases of hypothyroidism, 27 patients with chronic obstructive pulmonary disease. cardiac function (NYHA level in 18 cases, grade 16 cases, 4 cases. preoperative coronary angiography Display: 15 cases of coronary artery disease two, three lesions in 23 cases, of which 10 patients with left main disease, 3 patients before surgery who underwent coronary stent implantation. preoperative intra-aortic balloon counterpulsation 3 cases. 1.2 surgical procedures All patients in the off-pump, beating heart cases with an operation .8 LIMA (LIMA and after descending (LDA anastomosis, 10 patients with radial artery (RA and then decreased (PDA anastomosis, 20 cases of 65 years and older followed by saphenous vein anastomosis descending branch (LDA,

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