无血预充体外循环技术的临床作用  

CLINICAL APPLICATION OF EXSANGUINE PRIMING TECHNIQUE IN EXTRACORPOREAL CIRCULATION

作　　者：翁丽芳[1] 傅新平[1] 冯阁文 吕琪[1] 涂旗胜[1] 周期[1] 

机构地区：[1]海南医学院附属医院外科

出　　处：《海南医学院学报》1996年第1期17-19,共3页Journal of Hainan Medical University

摘　　要：自１９９４年４月起，我们对１５例心内直视手术患者采用无血预充、中深度血液稀释体外循环技术。体外循环机内不用血，以乳酸林氏液和７０６代血浆为主，转中平均Ｈｂ５．４８ｇ／ｄＬ、ＨＣＴ１５．４６％。心内术毕，应用人工肾超滤技术滤除体内多余水份。Ｈｂ高２ｇ／ｄＬ，ＨＣＴ上升６％，对于１０的Ｈｂ超过１２ｇ／ｄＬ的患者，采用自体血回输，结果表明该方法有效地改善微循环，保护肾功能，有利病人术后恢复。cases of open heart surgery have been handled with a technique of exsanguine priming and ,medium-deep hemodilution in extracorporeal circulation since April,1994.Priming solutions with Ringer's lactate and 706 hydroxyethyl starch without blood were employed in the heart-lung machine.Hb was 5.48/dl and Hct was 15.46%during the cardiopulmonary bypass. Ultrafiltration with artificial kidney was performed to eliminate excessive water in the body after intracardiac procedures with an increase of Hb by 2g/dl and Hct by 6%. Autotransfusion was employed in 10 patients with Hb more than 12g/dl.The results indicated that the combined technique could improve the microcirculation,protect the kidney function and facilitate the postoperative recovery of the patients.

关 键 词：体外循环 无血预充 血液稀释 自体血回输 超滤 

分 类 号：R654.1[医药卫生—外科学]