浅低温不停跳体外循环下房间隔缺损修补术  

Sugical treatment of the 171 cases of atrial septal defect with beating heart under tepid cardiopulmonary

作　　者：雷虹 严中亚 郑理 

机构地区：[1]安徽医科大学附属省立医院安徽省立医院心外科,安徽合肥230001

出　　处：《中国基层医药》2005年第10期1324-1325,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结房间隔缺损(房缺)在浅低温不停跳体外循环下修补的经验。方法171例房缺施行心脏不停跳心内直视手术并行循环,收紧上下腔静脉套带不阻断升主动脉,不灌注心脏停搏液,鼻咽温度维持在(33±1)℃,均在心室空跳条件下完成心内直视手术。结果术后血液动力学平衡,血管活性药物用量少,无心律失常,无神经系统症状出现,术后住院天数减少,全组均痊愈出院。结论应用浅低温不停跳体外循环下修补房间隔是安全可行的,具有方法简单易行,心肌保护好,术后恢复快的优点。Objective To summarize the experience of treatment for the 171 cases of atrial septal defect with beating heart under tepid cardiopulmonary bypass. Methods The 171 patients of ASD were underwent operation with beating heart. The aorta was not cross-clamped. The cold cardioplegic ,solution was not injected. Nasopharynx temperature maintain （33 ± 1 ）℃ . Results Postoperative hemodynamic was steady. There was no cerebral embolism,no arrhythmia, There were lesser inotropics and lesser days of postoperative hospital stay. Conclusions Myocardial protection is better. Postoperative recovery is rapid. The method is safer and simpler.

关 键 词：房间隔缺损 体外循环 低温 人工 心脏不停跳 浅低温不停跳体外循环 房间隔缺损修补术 心脏不停跳心内直视手术 不阻断升主动脉 神经系统症状 术后恢复 

分 类 号：R654.2[医药卫生—外科学] R722.12[医药卫生—临床医学]