Clinical Analysis of Coronary Artery Bypass Graft Surgery According to Cardiac Protection

관상동맥 우회로술시 심근보호법에 따른 수술결과의 임상분석

  • 이서원 (대전 을지 대학병원 흉부외과) ;
  • 이계선 (대전 을지 대학병원 흉부외과)
  • Published : 1997.10.01

Abstract

From October 1991 to April 1996, 27 patients underwent aortocoronary bypass graft. There were 17 men, 10 women. The mean age was 65 years(range 45 to 76). The preoperative clinical status were chronic stable angina in 11 cases, unstable angina in 13 cases and postinfarction angina in 3 cases. The involved ri k factors were as follows: Hypertension in 7 cases, Diabetes Mellitus in 5 cases and any other diseases in 3 cases We divided these patients into two groups in this survey: The A group was 15 patients who were managed with cardioplegia from 1991 to 1994. The B group of 12 patients was done with intermittent aortic clamping without cardioplegia from 1995 to 1996. The mean numbers of graft per patient was 2.0 in A group and 2.83 in B group. The ischemic time per graft was 27.3 minute in A group and 18.5 minute in B group respectively. The morbidity was occlusion of grafted vessel in one patient and one of postoperative angina in A group. The total mortality was 14.8%(4/27), but mortality of B group was 8.35 (1/12)

대전을지병원 흉부외과에서는 1991년 10월 부터 1996년 4월까지 27명의 관상동맥우회로술을 시행하였으며 심정지액을 사용한 A그룹과 사용하지않은 B그룹으로 구분하여 조사하였다. 남자는 17명, 여자는 10명 이었 으며 연령은 45세에서 76세까지 분포하였으며 평균연령은 65세였다. 술전 임상소견으로는 안전성 협심증 11 례,불안전성 협심증 13례, 심근경색후 협심증이 3례였다. 동반질환으로 고혈압 7례, 당뇨병 5례 및 기타질환 이 3례있었다. 환자당 평균 혈관문합수는 A군에서 2.0개소, B군에서는 2.83개소의 원위문합을 하였다. 대동 맥 차단시간은 A군에서 54.7분, B군에서는 18.5분이었다. 술중 혹은 술후 발생한 심근경색증은 A군에서 2례, B군에서 3례 였으며, 전체파망율은 4례론 14.8%이며 B군의 사망율은 8.3%였다.

Keywords

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