体外循环支持下离断大肢体再植手术  

Reservation of amputated extremities asisted by extracorporeal circulation

作　　者：方凯凯 李颖[2] 王春书[2] 江丽红[2] 王国军[1] 

机构地区：[1]南京解放军第454医院麻醉科,南京210002 [2]南京解放军第454医院骨科,南京210002

出　　处：《中国体外循环杂志》2015年第1期55-56,共2页Chinese Journal of Extracorporeal Circulation

基　　金：南京军区资助面上课题(12MA043)

摘　　要：目的探讨体外循环(ECC)技术应用于离断大肢体再植手术的可行性及临床疗效。方法 1例上臂离断伤患者,采用体外循环技术支持下行离断肢体再植术。结果本例手术和转流时间126 min,回收创面失血1 900 ml,远端肢体从损伤至自身供血时间为6 h,手术中血压平稳,手术顺利。ICU滞留63 h,肢体功能恢复良好。结论 ECC技术临床应用于离断大肢体手术是可行有效的。Objective To discuss the feasibility and effectiveness of extracorporeal circulation（ ECC） assisted replantation of amputated limbs. Methods One case suffered from severe amputation of the right upper limb. After debridement,axillary artery and vein were cannulated and perfusion with anticoagulated autologous blood was performed for 126 min. O2,CO2,Hb,lactate,potassium,p H,loss of blood,BP,Sp O2,and ECG were monitored. Results The operation/ ECC time was 126 min. The amount of autologous blood salvage from the wound was 1900 ml. During surgery,the blood pressure was stable. After 63-hour stay in ICU,the limb function was restored. Conclusion The feasibility of ECC technique in replantation of amputated limbs was demonstrated.

关 键 词：肢体再植 肢体保护 体外循环 

分 类 号：R658.1[医药卫生—外科学]