Thib peb, cov neeg mob uas muaj kev cuam tshuam los ntawm kev tsis ua haujlwm feem ntau yog cov laus (txhais tau tias muaj hnub nyoog 68-70 xyoo hauv txoj kev tshawb no) thiab muaj kev ua haujlwm tsis zoo ntawm sab laug ventricular, yog li yuav muaj kev pheej hmoo siab rau lub plawv tsis ua haujlwm lossis arrhythmias, thiab rau tsim cov kab mob uas tsis yog mob plawv, xws li kab mob thiab mob qog noj ntshav.
Pab lub plawv hla dhau kev cog qoob loo ntau npaum li cas?
kwv yees li 50% ntawm saphenous leeg grafts (SVGs) poob los ntawm 5 mus rau 10 xyoo tom qab coronary artery bypass grafting (CABG) thiab nruab nrab ntawm 20-40% ua tsis tiav hauv thawj zaug xyoo (1, 2).
Koj puas tuaj yeem mob plawv tsis ua haujlwm tom qab kev phais phais?
Postoperative Heart Failure. Qhov tshwm sim ntawm HF tom qab CABG phais tsis yog qhov tsis tshua muaj. Perioperative myocardial raug mob, ua ntej sab laug ventricular systolic dysfunction, thiab stunning vim reperfusion raug mob tag nrho tuaj yeem ua rau lub plawv tsis ua hauj lwm tom qab CABG.
Yuav hla kev phais mus tsis ncaj ncees lawm?
Hnub no, ntau dua 95 feem pua ntawm cov neeg uas tau txais kev phais mob coronary bypass tsis muaj teeb meem loj, thiab kev pheej hmoo ntawm kev tuag tam sim tom qab txoj kev tsuas yog 1-2 feem pua.
Dab tsi ua rau kev hla kev hla tsis dhau?
Txog 40 feem pua ntawm cov hlab ntsha grafts tau ntsib qhov tsis ua tiav hauv 18 lub hlis ntawm kev ua haujlwm. Boehm thiab nws cov npoj yaig tau tshuaj xyuas cov leeg los ntawm cov qauv nas ntawm kev hla kev phais, thiab pom tias cov txheej txheem hu ua endothelial-to-mesenchymal hloov, lossis EndoMT, ua rau sab hauv.vein to over-thicken.
