摘要
目的 :总结我院 5 3例冠状动脉旁路移植术后呼吸衰竭的发生率及发生的原因。方法 :1998年 1月～2 0 0 2年 4月连续 5 3例冠状动脉旁路移植术 ,发生呼吸衰竭 18例 ,死亡 5例。通过回顾性分析临床资料 ,lo gistic回归分析 ,筛选出与呼吸衰竭相关的危险因素。结果 :体外循环时间 ,阻断主动脉时间是本组冠状动脉旁路移植术发生呼吸衰竭的相关危险因素 ,其相对危险度分别是 1.3895 ,1.6 75 5。结论 :缩短体外循环时间及阻断主动脉时间将减少行CABG术患者术后发生呼吸衰竭的机率 ,但该结果尚有待于大规模多中心的综合评价验证。
Objective:To explore the potential risk factors for respiratory failure following coronary artery bypass grafting.Methods:This study included 53 consecutive cases with coronary artery bypass grafting from January 1998 to April 2002, of whom 18 patients experienced respiratory failure with 5 dead.Retrospective analysis were performed to evaluate the associations between respiratory failure and potential risk factors. Significant factors were detected by logistic regression analysis.Results:The bypass time and the clipping time were found to be the major risk factors for respiratory failure. OR was 1.38 for bypass time ( P =0.042,95%CI 1.1095～1.7403) and 1.68 for clipping time ( P =0.0112,95% CI 1.1247～2.4959).Conclusions:Minimizing the bypass time and the clipping time will decrease the incidence of respiratory failure after CABG. A large-scale multiple-center assessment is required to confirm this findings.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第12期56-57,60,共3页
China Journal of Modern Medicine
关键词
冠状动脉旁路移植术
呼吸衰竭
原因
Coronary Artery Bypass Grafting, Respiratory Failure
Risk Factors
