“分离式”微温含血停跳液在心内直视手术中的应用  

The Clinical Use of "Separate-type" Perfusion of Tepid Oxygenated Blood in Open Heart Surgery.

作　　者：冯锐[1] 许林海[2] 冯竞[1] 葛根贤[2] 聂良明[2] 张雅萍[2] 

机构地区：[1]温州市第三人民医院心胸外科,浙江温州325000 [2]浙江省人民医院心胸外科,浙江杭州310014

出　　处：《心脑血管病防治》2009年第6期417-418,共2页CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT

摘　　要：目的:探讨"分离式"微温(30～34℃)氧合自体血灌注心肌的保护方法在心内直视手术中的应用效果。方法:在226例心内直视手术中应用微温氧合自体血持续灌注的心肌保护方法,观察其临床效果。结果:体外循环结束时发生电解质紊乱13例,术后并发心律失常13例,经治疗后恢复;二次开胸止血8例;死亡2例,其余均痊愈出院,无低心排综合症,无脑、肝、肺、肾等重要器官并发症。结论:"分离式"微温血灌注心肌的方法具有理想的心肌保护效果,且操作简单方便,值得临床应用和推广的一种有效的心肌保护方法。Objective To investigate the myocardial protection effect witli ＂Separate-type＂ perfusion of tepid（30 - 34℃ ）oxygenated blood in open heart surgery. Methods To study the myocardial protection effect on ＂separate-type＂ tepid oxygenated blood continuous perfusion in total of 226 patients underwent open heart surgery. Results There were 13 cases electrolyte disturbances after extracorporeal circulation and 13cases arrhythmia after operation, they all recovered to normal after treatments. There was no low cardiac output syndrome or complication in brain,liver,lung and kidney. Except two eases died, others all left hospital with recovery. Conclusions The tectmique of ＂separate-type＂ perfusion of tepid oxygenated blood acquired better myocardial protection and it was easy to operate. It is an effective and practical myocardial protection teelmique and worthy of popularization in clinical.

关 键 词：心内直视手术 分离式 含血停跳液 微温 手术中 浙江省人民医院 氧合自体血 保护方法 

分 类 号：R654.2[医药卫生—外科学] R654.1[医药卫生—临床医学]