零平衡超滤与改良超滤在老年患者心脏手术中的联合应用研究  

The combined study of zero-balanced and modified ultrafiltration on cardiac surgery for elderly people

作　　者：安卓翌[1] 李佳弟 翟少峰 

机构地区：[1]河南科技大学第一附属医院心脏外科,洛阳471000

出　　处：《心肺血管病杂志》2015年第10期757-758,773,共3页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的：总结70岁以上老年患者体外循环中联合应用零平衡超滤（ZBUF）与改良超滤（MUF）的经验。方法：70岁以上老年患者98例均在低温体外循环下实施手术,转中依血红蛋白（HGB）水平适当ZBUF,停机后行MUF。结果：98例患者均顺利停机。超滤时间40~100（75.3±11.7）分钟,滤出液800~3000（1650±56.6）m L,停机时HGB压积（HCT）：24~35（29.2±1.5）%,HGB水平为7.9~9.0（8.6±0.2）g/L,MUF后HGB水平为9.8~12.5（11.2±1.02）g/L。ICU监护时间平均4~6天,平均：4.8天。结论：ZBUF与MUF的联合应用有利于术后多余水分的排出及炎性介质的滤出,对于老年患者和长时间体外循环者安全有效。Objective：To sum up the experiences at joint applications of zero balance ultrafiltration （ZBUF） and modified ultrafihration （MUF） in elderly.patients with cardiopulmonary bypass. Methods： 98 ca- ses of elderly patients （ 〉 70 years old） were under hypothermic cardiopulmonary bypass surgery, according to hemoglobin levels, all the patients were received treatment of zero balance uhrafiltration and modified uhrafiltra- tion. Results： 98 patients successfully detached from cardiopulmonary bypass after heart operations. Ultrafiltra- tion time ：40-100 （75.3 ± 11.7 ） min, Filtered liquid volume ： 800-3000 （ 1650 ±56. 6） mL, and the hemoglo- bin level were kept at 7.9 - 9. 0（ 8.6 ± 0. 2 ） g/L, and the hemoglobin level were kept at 9. 8 - 12. 5 （ 11.2 ± 1.02） g/L after finished of the modified uhrafiltration, the average ICU stay time was 4-6days（ average：4. 8d）. Conclusion：Combined application of zero balance ultrafihration and modified uhrafihration was useful to dis- charge excessive water load and inflammatory mediators from the body of elderly patients, and it was proved to be safe and effective in prolonged cardiopulmonary bypass.

关 键 词：老年 超滤 体外循环 

分 类 号：R54[医药卫生—心血管疾病]