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서지반출
관동맥 우회술의 수술성적-수술전 처치 및 수술수기의 영향에 관한 연구
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  • 관동맥 우회술의 수술성적-수술전 처치 및 수술수기의 영향에 관한 연구
저자명
김영태,홍종면,채헌
간행물명
大韓胸部外科學會誌
권/호정보
1993년|26권 2호|pp.141-147 (7 pages)
발행정보
대한흉부외과학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

A total of 40 patients having a diagnosis of atherosclerotic coronary arterial disease were analysed on the operative outcomes according to variables as follows: 1) preoperative risk factors such as age, sex, CCS (Canadian Cardiovascular Society) functional class, type of angina, number of diseased vessel, presence of left main coronary artery stenosis, previous history of habitual smoking and presence of other medical diseases (diabetes mellitus, essential hypertension), 2) preoperative management such as intravenous infusion of nitroglycerine, preoperative IABP (intra-aortic balloon pump) support and whether the operation was scheduled as emergency or not, 3) intraoperative variables such as infusion method and composition of cardioplegic solutions, number of distal anastomosis, use of internal mammary artery, total cardiopulmonary bypass time and total cross clamp time. Complications included operative death in 12.5%, perioperative myocardial infarction in 25.0% and perioperative arrhythmia in 17.5%. Nineteen perioperative variables were analyzed to identify risk factors for these end points. For operative death, presence of left main coronary artery stenosis (p = 0.056) and cardiopulmonary bypass time (p = 0.029) were significant in the univariate analysis, but presence of left main coronary artery lesion (p = 0.011, $chi$$^2$= 6.45) and abscence of preoperative of IABP support (p = 0.069, $chi$$^2$ = 3.30) were independent predictor in multivariate analysis (stepwise linear logistic regression).