近期脑梗塞患者心脏手术体外循环管理要点  

Cardiopulmonary bypass management during cardiac surgery in patients with recent cerebral infarction

作　　者：吕晓钗[1] 陈良万[1] 杜剑之[1] 侯艳婷 Lv Xiaochai;Chen Liangwan;Du Jianzhi;Hou Yanting(Department of Cardiac Surgery,Union Hospital,Fujian Medical University,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院心脏外科,福州350001

出　　处：《中国体外循环杂志》2018年第6期372-374,共3页Chinese Journal of Extracorporeal Circulation

摘　　要：目的探讨近期脑梗塞患者心脏手术体外循环(CPB)管理方法。方法回顾46例脑梗塞后1个月内接受体外循环心脏手术病例资料及体外循环管理要点。结果全组CPB时间(64.67±17.38) min,主动脉阻断时间(33.72±11.20) min,激活凝血时间(599.93±75.94) s,ICU停留时间(2.17±0.82) d。术后均无新发中枢神经系统并发症,无院内死亡。结论 CPB中维持适当灌注流量和灌注压,把控好降温和复温的速度及梯度,是减少术后神经系统并发症的重要因素。Objective To explore the management of cardiopulmonary bypass (CPB) for patients with recent cerebral infarction undergoing cardiac surgery. Methods The clinical data of 46 patients undergoing CPB who had cerebral infarction within one month were reviewed.Results The mean CPB time was (64.67±17.38) min,the aortic cross clamp time was (33.72±11.20) min, the activation coagulation time was (599.93±75.94) s,and the ICU stay time was (2.17±0.82) d,respectively.No new neurological complications occurred after surgery.All patients survived in hospital. Conclusion During CPB,maintaining proper perfusion flow and pressure,controlling the speed and gradient of cooling and rewarming are important factors to reduce postoperative complications of nervous system.

关 键 词：脑梗塞 体外循环 心脏手术 

分 类 号：R654.2[医药卫生—外科学]