浅低温不停跳心内直视手术体外循环436例分析  

Hypothermic open intra-cardiac surgery for beating heart: Analysis of extracorporeal circulation in 436 patients

作　　者：骆荩[1] 王加利[1] 张涛[1] 马兰[1] 

机构地区：[1]解放军总医院心血管外科研究所,北京100853

出　　处：《军医进修学院学报》2010年第4期335-336,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的分析浅低温不停跳下心内直视手术体外循环病例选择及临床意义。方法对1999年3月-2009年5月期间436例简单先心浅低温不停跳下心内直视手术体外循环灌注情况进行回顾性研究。年龄≤12岁小儿组263例,年龄>12岁成人组173例,对两组患者体外循环中流量、压力、温度等情况进行比较。结果与成人比较,小儿灌注流量明显高于成人(P<0.01),平均动脉压明显低于成人(P<0.01);术中平均温度和转机时间两组无统计学差异(P>0.05)。436例患者术后均痊愈出院。结论体外循环下心脏不停跳心内直视手术,对于简单先心病患者是安全可靠的。Objective To analyze the extracorporeal circulation in patients during hypothermic open intra-cardiac surgery for beating heart and its clinical significance. Methods Extracorporeal circulation perfusion during hypothermic open intra-cardiac surgery for beating heart in 436 patients admitted to our hospital in March 1999-May 2009 was retrospectively analyzed. The patients were divided into children group with their age≤12 years （n=263） and adult group with their age 12 years（n=173）. Blood flow volume, blood pressure and temperature were compared during extracorporeal circulation in the two groups. Results The blood flow volume was significantly greater in children group than in adult group（P0.01）. However, the mean arterial pressure was lower in children group than in adult group （P0.01）. No significant difference was found in temperature and hypothermic open intra-cardiac surgery time during operation between the two groups. The 436 patients were discharged from hospital after complete recovery. Conclusion Hypothermic open intra-cardiac surgery for beating heart under extracorporeal circulation is safe for patients with simple congenital heart disease.

关 键 词：体外循环 心脏外科手术 心内直视手术 

分 类 号：R654.21[医药卫生—外科学]