体外循环技术在A型主动脉夹层产妇救治中的应用  

Application of Extracorporeal Circulation Technique in the Treatment of Type A Aortic Dissection in Pregnant Women

作　　者：刘彩霞[1] 汪玲 易杰 覃方芳 Liu Caixia;Wang Ling;Yi Jie;Qin Fangfang(Department of Cardiothoracic Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]胸心外科,湖北宜昌443003

出　　处：《巴楚医学》2024年第3期30-33,共4页Bachu Medical Journal

基　　金：湖北省自然科学基金创新发展联合基金项目(No:2024AFD143)。

摘　　要：产妇并发A型主动脉夹层(TAAD)是一种罕见且极度危重的临床紧急情况,亟需紧急手术治疗。由于产后特殊的生理状态、夹层对凝血因子及血小板的显著消耗,以及体外循环过程中不可避免的凝血因子大量破坏,这些因素共同构成了子宫内大出血的高危风险。因此,在体外循环辅助下实施夹层手术,无疑是一项技术性与挑战性并存的医学任务。体外循环灌注师不仅需要精准掌控体外循环系统的运行,更要对手术过程中的出血与止血情况保持高度警觉。本文深入探讨了TAAD产妇行体外循环技术的操作要点,旨在为临床实践中体外循环技术的应用提供宝贵的参考,以期提高手术成功率,降低患者的风险。The concurrent type A aortic dissection(TAAD)in puerpera is a rare and extremely critical clinical emergency,requiring urgent surgical treatment.Due to the special physiological state after childbirth,the significant consumption of coagulation factors and platelets caused by the dissection,and the inevitable massive destruction of coagulation factors during the extracorporeal circulation process,these factors jointly constitute a high risk of massive hemorrhage in the uterus.Therefore,performing a dissection surgery assisted by extracorporeal circulation is undoubtedly a medical task with both technical and challenging aspects.The perfusionist of extracorporeal circulation not only needs to precisely control the operation of the extracorporeal circulation system,but also needs to be highly alert to the bleeding and hemostasis conditions during the surgical procedure.This article deeply explores the key points of extracorporeal circulation technology for puerpera with TAAD,aiming to provide valuable reference for the application of extracorporeal circulation technology in clinical practice,in order to improve the success rate of surgery and reduce the risk for patients.

关 键 词：产妇 A型主动脉夹层 体外循环 

分 类 号：R654.1[医药卫生—外科学]