同期施行冠状动脉搭桥和心脏瓣膜手术的体外循环

目的总结和分析同期施行冠状动脉搭桥和心脏瓣膜手术的体外循环方法。方法125例患者分为3组:M组(冠脉病变及二尖瓣病变)75例,A组(冠脉病变及主动脉瓣病变)34例,D组(冠脉病变及二尖瓣和主动脉瓣病变)16例。心肌保护采用4:1冷含血停搏液,应用单纯顺灌、顺灌逆灌结合、顺灌桥灌结合、顺逆灌和桥灌结合技术。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,无手术死亡。结论同期施行冠状动脉搭桥和心脏瓣膜手术,术中良好的心肌保护方法和合理的体外循环灌注是保证手术顺利成功的重要因素。

The CPB of Combined Valvular and Myocardial Revascularization Operations

Objective To summarize and investigate the CPB management of combined valvular and myocardial revascularization operations. Methods 125 cases were divided into three groups: group M(n=75), coronary artery disease associated with mitral valve disease; group A(n=34), coronary artery disease associated with aortic valve disease; group D(n=16), coronary artery disease associated with mitral and aortic valve disease. Antrograde combined with retrograde coronary sinus and coronary arterial graft cadioplegia perfusion were used. Result It is well-balanced and stably in CPB. No death in three groups. Conclusion The well myocardial protection and CPB management is the key of surgical operation success.