真空辅助静脉引流技术在微创心脏手术中的应用  

Application of Vacuum-Assisted Venous Drainage Technology in Mininally Invasive Cardiac Surgery

作　　者：程实[1] 谷天祥[1] 修宗谊[1] 吴立民[1] 高锐[1] 高雅[1] 

机构地区：[1]中国医科大学附属第一医院心脏外科,辽宁省沈阳市110001

出　　处：《中国医疗器械杂志》2011年第6期428-430,共3页Chinese Journal of Medical Instrumentation

摘　　要：目的总结在微创心脏手术中,应用真空辅助静脉引流技术辅助体外循环的方法及经验。方法选取拟行微创心脏手术的35例患者,全组病例均采用右侧股动、静脉插管,CPB过程中应用VAVD技术。同时选择同期正中切口行心内直视手术病例35例为对照组,记录患者CPB时间,尿量,术后呼吸机使用时间,监护室停留时间,术中及术后血制品总用量,术后48h胸腔引流量。结果两组CPB时间,尿量无显著差异(P>0.05);微创手术组术后呼吸机使用时间,ICU停留时间,术中及术后血制品总用量,术后48h胸腔引流量均明显低于对照组(P<0.05)。结论在微创手术中应用VAVD,可以有效地增加静脉引流量,保证手术安全、顺利的进行。Objective To summarize the method and experience of cardiopulmonary bypass（CPB） with vacuum-assisted venous drainage technology（VAVD） in the minimally invasive cardiac surgery（MICS）. Methods 35 cases of patients undergoing MICS were achieved femoral arterial cannula and femoral venous cannula. During the course of the CPB, we used the VAVD technology. At the same time, we selected 35 cases as control group.The time of the CPB, mechanical ventilation and ICU, and the amount of the urine, blood products, and chest drainage were recorded. Results The time of mechanical ventilation and ICU staying, the volume of the bloed products and the volume drainage within 48 h post- operatively in the MICS group were significantly shorter and less than that in control group （P 〈 0.05）. Conclution The use of VAVD in the MICS can increase the vena cava drainage effectively, and ensure the surgery safe and successful.

关 键 词：真空辅助静脉引流 微创心脏手术 体外循环 

分 类 号：R654.1[医药卫生—外科学]