摘要
体外循环心脏手术是一个复杂的过程。麻醉，机器灌注及手术环节中常可出现各种意外及并发症。作者报告这类意外及并发症２３例次，其中死亡１例。意外中主要是各种插管的脱出及闭塞，其次是动脉路管道进气。作者分析了这些意外的发生原因并提出处理及预防措施。心脏大血管损伤是最常见者。本组共发生１５例次。作者讨论了造成这些损伤的常见原因及预防措施。作者指出，心内直视手术中发生的心脏大血管损伤均宜在体外循环下进行修补。
Open heart surgery under cardiopulmonary pass (CPB) is a complex procedure.Some kinds of accidents and complications can occur in anesthesia, CPB and operation.Twenty three cases of these accident and complication (one death ) are reported.The main cause of accident is cannula slipping out of vessels or occlusion of cannula and the second one is air embolus in atery. Heart and great vessel injury is a most Common complication during operation, while there were 15 cases encountered in this series. The common causes and precautions against injury are discussed and the authors imply that heart and vessel injuries during surgery is better repaired under CPB.
出处
《中国胸心血管外科临床杂志》
1995年第2期87-89,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
手术意外
并发症
心内直视手术
体外循环
Surgical accident Complication Open heart surgery Cardiopulmonary bypass.
