应急体外循环的临床应用  

Clinical study of emergency cardiopulmonary bypass

作　　者：李全民[1] 刘长明[1] 许庆鹏[1] 李刚[1] 申宗陶[1] 姚飞[1] 司安家[1] 

机构地区：[1]河南省焦作市人民医院心胸外科,454002

出　　处：《临床外科杂志》1999年第3期134-136,共3页Journal of Clinical Surgery

摘　　要：目的探讨应急体外循环（ECPB）在抢救心脏或非心脏危重病人中的意义和作用。方法心脏病人以动脉─静脉转流法，非心脏病人则采用静脉─静脉转流法。结果ECPB占同期体外循环手术3．85％（33／857）。心脏手术ECPB27例，成功19例，死亡8例；非心脏手术6例，均抢救成功。结论在某些紧急情况下采用ECPB可挽救以往认为无法抢救的重危病人的生命或减少后遗症、并发症。Objective To study the importance of the emergency cardiopulmonary bypass(ECPB) in the treatment of severe heart disease or the other one. Method 33 cases treated by ECPBwere analyzed. Results The percentage of ECPB was 3. 85% (33/857) in the cardiopulmonary bypassat the same time. 19 patients were saved and & patients died in 27 cases of ECPB undergoing open heartsurgery. 6 cases with critical carbon monoxide poisoning were saved by ECPB. Conclusions (l) ECPBcould decrease or replace the work of heart, keep the effective perfusion flow in the organs and make thearea of the operation bloodless for rescuing patient. (2) ECPB could remove the air embolus from openheart surgery by altering the per fusion direction of cardiopulmonary bypass and the pressure in vessels.(3) ECPB can be used to treat the deterioration or the missed disease of the patient after open heartsurgery. (4) ECPB could provide immediately oxygen for ie tissue and remove waste air in the blood anddivide poison material from the blood also.

关 键 词：应急 体外循环 心脏病 抢救 非心脏病 

分 类 号：R654.1[医药卫生—外科学]