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- W2364497029 abstract "Objective To determine the airway injury and clinical manifestation following coronary artery bypass graft(CABG).Methods Prospective clinical study.50 consecutive patients undergoing off-pump CABG without congenital heart disease,perioperative heart failure,pneumonia,atelectasis and pulmonary infarction were chosen.Changes of trachea-bronchia were observed through bronchofibroscope,changes of lung and mediastina were observed through chest X-ray.Datas of airway resistance,lung compliance and spiro-index were collected to evaluate pulmonary function.Liver and renal function tests were collected to evaluate the functions of these organs.And ejection fraction,temperature,blood-routine were collected.Results 13 cases(26%) suffered from tracheo-bronchial edema,10 cases(20%) with tracheobronchial edema,3 cases(6%) suffered with severe tracheobronchial edema.Airway resistance in 13 cases with airway edema is more than in 37 cases without airway edema,and lung compliance and spiro-index decreased(P0.05).The patients with severe tracheobronchial edema were cured by a nasal continuous positive airway pressure mask ventilation.Conclusion Airway edema is firstly observed in the immediate postoperative period of off-pump CABG and it can lead to pulmonary insufficiency and postoperative hypoxemia.Moderate trachea-bronchia edema can be cured through raising FiO2 and injecting trachea-bronchia spasmolytic agent and glucocorticoid,while severe hypoxemia would be cured by positive-pressure ventilation,and the nasal continuous positive airway pressure mask is well tolerated as a treatment of severe hypoxemia." @default.
- W2364497029 created "2016-06-24" @default.
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- W2364497029 date "2007-01-01" @default.
- W2364497029 modified "2023-09-24" @default.
- W2364497029 title "Bronchoscopic Observation Early Following Bypass Operation of Coronary Artery" @default.
- W2364497029 hasPublicationYear "2007" @default.
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