成人动脉导管未闭的体外循环管理  

Management of Cardiopulmonary Bypass on Adult Patients with Patent Ductus Arteriosus

作　　者：张凤英[1] 高扬[2] 李连录[2] 王利[2] 

机构地区：[1]北京市垂杨柳医院心脏中心CCU,北京100022 [2]山西省大同市第五人民医院胸心外科,山西大同037006

出　　处：《中国体外循环杂志》2005年第3期175-176,共2页Chinese Journal of Extracorporeal Circulation

摘　　要：目的回顾8例成人动脉导管未闭(PDA)在体外循环(CPB)下行手术的患者,总结体外循环经验。方法CPB采用深低温低流量(DHLF),心肌保护为4:1高钾含血停搏液灌注。心脏停跳后切开肺动脉堵住动脉导管开口,防止灌注肺。结果CPB时间53～96min,心脏阻断25～63min,均自动复跳,顺利脱机,痊愈出院。结论采用深低温低流量CPB行成人动脉导管直视缝合术是一种安全,有效的方法。OBJECTIVE 8 adult patients with patent ductus arteriosus for surgical treatment undergoing cardiopulmonary bypass （CPB） were reported. METHODS Deep hypothermia low flow rate （DHLF） were used during CPB,4：1 cold blood hyperkalemic cardioplegia were used in all patients. After circulation arrested, to block the ductus＇s outlet preventing perfusion lung. RESULTS CPB time range from 53 to 96 min, deep hypothermic circulatory arrest （DHLF） 22 -54min, and the aortic clamed time 38 -63 min. Resuscitatiom of heart was 100%. All patients separate from CPB smoothly. CONCLUSION Adopting DHLF CPB to PDA surgical treatment is a safe and effective method.

关 键 词：体外循环 动脉导管未闭 成人 外科治疗 

分 类 号：R654.2[医药卫生—外科学]