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Register a new userEvaluation of early results for the maintenance of the pleura is closed during the preparation of the internal mammary artery in patients Undergoing CABG
النتائج المبكرة للمحافظة على غشاء الجنب مغلقا أثناء تحضير الشريان الثديي الباطن عند مرضى المجازات الإكليلية
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
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Shamra Editor
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الهدف الأساسي من الدراسة دراسة النتائج المبكرة للمحافظة على غشاء الجنب مغلقا أثناء تحضير الشريان الثديي الباطن في المحافظة على الوظيفة التنفسية و دوره في الوقاية من الإختلاطات التنفسية و النزفية التالية لفتحه و المقارنة مع الدراسات العالمية المجراة في هذا المجال . شملت الدراسة مرضى المجازات الاكليلية من كلا الجنسين و اللذين تتراوح اعمارهم بين 40(عام) و 72(عام) و اللذين نتاج القلب لديهم> من40% في مشفى تشرين الجامعي في اللاذقية كدراسة استقبالية خلال عام 2017. شملت الدراسة 30 مريض تم تقسيمهم على مجموعتين المجموعة الاولى (15) مريض تم المحافظة على غشاء الجنب لديهم مغلقا, المجموعة الثانية (15) مريض تم فتح غشاء الجنب لديهم حيث تم متابعة المرضى خلال اسبوع بعد العمل الجراحي. نستنتج من دراستنا ان الاختلاطات النزفية و الحاجة لنقل الدم و الاختلاطات التنفسية كانت اقل بشكل ملحوظ عند المحافظة على غشاء الجنب مغلقا اي في المجموعة الاولى.
The main objective of the study is to study the early results of the maintenance of the pleura during the preparation of the internal breast artery in the maintenance of respiratory function and its role in the prevention of respiratory and hemorrhagic complications following its opening and comparison with the global studies conducted in this area. The study included patients with Cabg of both sexes aged between 40 years and 72 years of age who were the EF% from 40% in Tishreen University Hospital in Lattakia as a prospective study during 2017. The study included 30 patients divided into two groups: Fifteen patients had closed their pleura, and the second group (15) patients had pleural ulcers. Patients were followed within one week after surgery. We conclude from our study that hemorrhagic complications and need for blood transfusions and respiratory complications were significantly less when maintaining the pleura closed in the first group.
References used
ALI IM, KINLEY CE, SANALLA A. Opening the pleura during internal mammary artery harvesting: advantages and disadvantages Can J Surg 39: 1996;42-5
BONACCHI M, PRIFTI E, GIUNTI G, SALICA A. RIGHT Y-GRAFT, a new surgical technique using mammary arteries for total myocardial revascularization. Ann Thorac Surg 70: 2000;820-3
BOYLAN MJ, LYTLE BW, LOOP FD, TAYLOR PC, BORSH JA, GOORMASTIC M,et al. Surgical treatment of isolated left anterior descending coronary stenosis. Comparison of left internal mammary artery and venous autograft at 18-20 years of follow- up. J Thorac Cardiovasc Surg 107: 1994;657-62
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