摘要
目的 :介绍浅低温体外循环心脏不停跳心内直视手术治疗先天性心脏病心内畸形的应用体会。方法 :5 5 5例先心病患者采用该手术 ,常规建立体外循环 ,置左心房引流管 ,降温至 32± 1℃并维持 ,仅阻断上下腔静脉 ,不阻断主动脉 ,维持灌注压在 6 0mmHg左右 ,心脏跳动下施行畸形矫正 ,方法同停跳手术。结果 :死亡 11例 (死亡率 2 .0 % ) ,其余均痊愈出院 ,随访 1～ 13个月 ,恢复良好。结论 :浅低温心脏不停跳心内直视手术 ,是一种有效的心肌保护方法 ,能减少并发症的发生 ,缩短体外循环时间。
Objective:To introduce the experience of open\|heart operation of congenital heart disease in 555 cases on beating heart.Method:The operations were done under mild hypothermic cardiopulmonary bypass.Cardiopulmonary bypass were initiated by cannulation of the aorta,and superior and inferior venae cavae,Only snailed the cava tapes without cross\|clampping the aorta.The perfusion rate was kept blood pressure at 60 mmHg and the body temperature was around 32℃.The technique of repair the intracardiac malformation under beating heart was just as same as under aorta cross\|clamping.Result:There were eleven patients died(mortality rate 2.0%).The others were cured and followed\|up for 1～13 months.The recovery were good.Conclusion:Our results shows that the technique is a new good way for myocardial protection.It can reduce the complicationrate,simplify the operative procedure and shorten the mean cardiopulmonary bypass time. [
出处
《心肺血管病杂志》
CAS
2001年第1期16-17,共2页
Journal of Cardiovascular and Pulmonary Diseases
关键词
先天性心脏病
体外循环
不停跳
心内直视手术
Intracardiac malformation\ Cardiopulmonary bypass\ Beating heart\ Open\|heart operat0
