| 成人降主动脉置换术中三种体外循环灌注技术的应用 |
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| 引用本文： | 赵赟,胡克俭,程玥,罗海燕,彭润生,陈佳莉,施杨,戚晓敏,王春生.成人降主动脉置换术中三种体外循环灌注技术的应用[J].上海生物医学工程,2011(1):29-32. |
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| 作者姓名： | 赵赟 胡克俭 程玥 罗海燕 彭润生 陈佳莉 施杨 戚晓敏 王春生 |
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| 作者单位： | 复旦大学附属中山医院心外科; |
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| 摘 要： | 目的总结分析成人降主动脉置换术中各种体外循环灌注的技术特点和管理方法。方法 2006年1月至2009年12月,共有60例患者行降主动脉置换手术。按体外循环灌注技术类型分为3组：左心转流组4例,股动静脉转流组37例,上下半身分别灌注组19例。三组预充均采用勃脉力A和胶体,常规加入白蛋白和激素,监测混合静脉氧饱和度和血细胞压积,积极应用超滤技术和自体血液回收技术。结果术中转流平稳,血流动力学稳定,监测指标均在正常范围,仅出现9例并发症（截瘫、偏瘫、谵妄、苏醒延迟、低氧血症）。结论成人降主动脉置换术中根据不同的手术方式,正确选择和熟练应用相应的灌注技术是决定手术成功的重要因素。
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| 关 键 词： | 体外循环 降主动脉置换 |
Application of Three Cardiopulmonary Bypass Perfusion Techniques in Adult Descending Aorta Replacement |
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| Zhao Yun,Hu Kejian,Cheng Yue,Luo Haiyan,Peng Runsheng,Chen Jiali,Shi Yang,Qi Xiaomin,Wang Chunsheng.Application of Three Cardiopulmonary Bypass Perfusion Techniques in Adult Descending Aorta Replacement[J].Shanghai Journal of Biomedical Engineering,2011(1):29-32. |
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| Authors: | Zhao Yun Hu Kejian Cheng Yue Luo Haiyan Peng Runsheng Chen Jiali Shi Yang Qi Xiaomin Wang Chunsheng |
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| Institution: | Zhao Yun,Hu Kejian,Cheng Yue,Luo Haiyan,Peng Runsheng,Chen Jiali,Shi Yang,Qi Xiaomin,Wang Chunsheng Department of Cardiac Surgery,Zhongshan Hospital,Fudan University(Shanghai 200032) |
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| Abstract: | Objective To summarize the characteristic and management of cardiopulmonary bypass(CPB) perfusion techniques in adult descending aorta replacement.Methods From January 2006 to December 2009,60 patients underwent descending aorta replacement in our hospital.According to the difference of CPB perfusion techniques,they were divided into three groups: left-sided heart bypass(LHB) group(group A),femoral artery-venous bypass group(group B),upper and lower body separate perfusion group(group C,).All patients were ... |
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| Keywords: | cardiopulmonary bypass descending aorta replacement |
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