预置股动静脉插管在再次心脏手术中的应用  

Application of preset femoral artery and vein cannulation in redo cardiac surgery

作　　者：王斌 王欢 石云 刘宇 Wang Bin;Wang Huan;Shi Yun;Liu Yu(Department of Cardiovascular Surgery,General hospital of Northern Theater Command,Liaoning Shenyang 110016,China)

机构地区：[1]北部战区总医院心血管外科,沈阳110016

出　　处：《中国体外循环杂志》2024年第4期274-276,共3页Chinese Journal of Extracorporeal Circulation

基　　金：辽宁省“兴辽英才计划”项目(XLYC2007053)。

摘　　要：目的探讨预置股动静脉插管在再次心脏手术中的应用。方法回顾性分析59例再次心脏手术患者临床资料,记录体外循环(ECC)时间、主动脉阻断时间、呼吸机辅助时间、ICU停留时间、红细胞和血浆输入量以及24 h引流量。结果全组死亡4例(其中1例放弃治疗),余55例顺利出院。ICU住院时间为2(1,4)d,呼吸机辅助通气时间为18.50(15.25,42.50)h,ECC时间为168.0(139.5,211.5)min,主动脉阻断时间为68.00(54.25,94.75)min,红细胞输入量为4.1(1.5,8.4)U,血浆输入量为405.0(0.0,802.5)ml,术后24 h引流量为200(105,355)ml,冷沉淀输入量为0.0(0.0,9.5)U。结论预置股动静脉插管可降低开胸风险,提高手术成功率。Objective To investigate the application of preset femoral artery and vein cannulation in redo cardiac surgery.Methods The clinical data of 59 patients undergoing redo cardiac surgery were analyzed retrospectively.Extracorporeal circulation(ECC)time,aortic cross-clamping(ACC)time,ventilator assistance time,ICU stay time,red blood cells and plasma transfusion volumes as well as 24 h drainage volumes were recorded.Results Four patients died(including one who abandoned treatment),while the remaining 55 patients were successfully discharged.The median ICU stay was 2(1,4)days,ventilator support time was 18.50(15.25,42.50)hours,ECC time was 168.0(139.5,211.5)minutes,and ACC time was 68.00(54.25,94.75).The number of red blood cells,plasma,drainage fluid and cryoprecipitated were 4.1(1.5,8.4)U,405.0(0.0,802.5)ml,200(105,355)ml and 0.0(0.0,9.5)respectively.Conclusion Preset femoral artery and vein cannulation can reduce the risk of thoracotomy and improve the operation success rate.

关 键 词：预置股动静脉 再次心脏手术 体外循环 

分 类 号：R654.2[医药卫生—外科学]