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超滤与改良超滤在婴幼儿体外循环手术的应用 被引量:3

Ultrafiltration and modified ultrafiltration in pediatric open-heart surgery
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摘要 目的探讨超滤与改良超滤法对婴幼儿心内直视手术的影响。方法1999年1月至2004年1月行婴幼儿心内直视手术60例,分为两组,治疗组采用超滤和改良超滤,对两组患者体外循环时间、呼吸机使用时间、术后出血及输血等进行了比较。结果术后呼吸机辅助时间、术后出血两组差异有统计学意义(t=2.66,3.49,P<0.05,0.01)。结论超滤与改良超滤在体外循环中可快速有效的脱水,减少体外循环后的出血,有利于患者的术后恢复和呼吸机的脱离。 Objective A modified technique of ultrafiltration and ultrafihration was probed to affected for pediatric openheart surgery. Methods There are 60 cases of pediatric open-heart surgery between Jan. 1999 to Jan. 2004. It was divided into two groups (control and treated group). The modified technique of ultrafiltration and ultrafihration was adopted by treated group. It was contrasted to the time of cardiopulmonary bypass,the time of ventilator, the post operation blood lose and blood transfused postoperatively in both groups. Results The time of ventilator and the post operation blood lose were significantly lower in treated compared with control patients. Conclusion In extracorpereal, the modified ultrafiltration and ultrafihration can dehydrate effectively, condense blood. Because blood is condensed, the haematoblast and other coagulated factors are increased comparatively. This reduces bleed after extracorpereal, reduces the amount of blood transfusion, and decreases the syndrome due to transfusion. Be propitious to the patients recovered.
出处 《中国心血管病研究》 CAS 2006年第1期22-23,共2页 Chinese Journal of Cardiovascular Research
关键词 超滤 心脏外科手术 婴儿 体外循环 Ultrafiltration Cardiac surgical procedures Infants
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参考文献4

  • 1[1]Naik SK,Knight A,Elliott M J.A prospective randomized study of a modified technique of ultra filtration during pediatric open-heart surgery.Circulation,1991,84 (Supple Ⅲ):S422.
  • 2[2]Jonas RA,Elliott MJ.Cardiopulmonary by pass in neonates Infants and young children.Oxford:ButterworthHeinemann Ltd,1994.158-170.
  • 3王伟 黄惠明 等.改良超滤法在婴幼儿体外循环中的应用[J].中国循环杂志,1998,13:101-101.
  • 4张鲁英,张广福,姜冠华,梁家立,杨哲,郑晓舟.改良超滤技术在体外循环中的应用[J].中国体外循环杂志,2004,2(1):14-15. 被引量:16

二级参考文献5

  • 1姜冠华,王振祥,都兴琅,张广福,张向华.法乐四联症根治术的心肺转流管理经验[J].中华麻醉学杂志,1994,14(6):457-458. 被引量:1
  • 2[2]Bando K,Turrentine MW,Vijay P,et al.Effect of modified ultrafiltration in high-risk patients undergoing operations for congenital heart disease[J].Ann Thorac Surg,1998,66:821-828.
  • 3[3]Daries MJ,Nguyen L,Gaynor JW,et al.Modified ultrafiltration improves left ventricular systolic function in infants after cardiopulmonary bypass[J].J Thorac Cardiovasc Surg,1998,115:361-370.
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