成人主动脉弓手术中脑保护策略的研究进展——中低温停循环联合选择性顺行性脑灌注  

Research Progress of Cerebral Protection Strategy in Aortic Arch Surgery for Adults——Moderate Hypothermic Circulatory Arrest with Selective Antegrade Cerebral Perfusion

作　　者：李芳[1] 王儒蓉[1] 

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《中国胸心血管外科临床杂志》2016年第7期732-737,共6页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家自然科学基金(30672260)~~

摘　　要：越来越多的证据显示在成人主动脉弓手术中的脑保护策略有由深低温停循环向中低温停循环的转变趋势,并且后者在临床实践中被证明是安全、有效的。本文主要对中低温停循环联合选择性顺行性脑灌注作为成人主动脉弓手术中的脑保护策略的研究进展和应用现状加以综述和分析,以期进一步推广中低温停循环联合选择性顺行性脑灌注技术在我国成人主动脉弓手术中的应用。Increasing evidences show that a gradual trend away from deep hypothermia toward moderate hypothermic circulatory arrest, which has been proved to be safe and effective in clinic. By summarizing and analyzing the research progress and applying status of the moderate hypothermia circulatory arrest with selective antegrade cerebral perfusion, the article aims at promoting the application of this tenique as a cerebral protection strategy in aortic arch surgery for adults in China.

关 键 词：循环骤停 中低温诱发 选择性顺行性脑灌注 脑保护 主动脉弓 手术 

分 类 号：R614[医药卫生—麻醉学] R654.3[医药卫生—外科学]