心血管白塞氏病的体外循环管理  

The management of cardiopulmonary bypass for cardiovascular Behcet’s disease

作　　者：谢海秀 张浩[1] 杨峰 郝星[1] 杨璟[1] 黑飞龙 Xie Haixiu;Zhang Hao;Yang Feng;Hao Xing;Yang Jing;Hei Feilong(Department of Extracorporeal Circulation and Mechanical Circulatory Assist,Center for Cardiac Intensive Care,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学北京安贞医院心脏外科危重症中心,体外循环与机械循环辅助科,北京100029

出　　处：《中国体外循环杂志》2024年第5期395-399,共5页Chinese Journal of Extracorporeal Circulation

摘　　要：目的 总结心血管白塞氏病(CBD)患者行外科治疗的体外循环管理经验。方法 回顾性分析首都医科大学附属北京安贞医院2018年3月至2024年5月间行外科治疗的19例CBD患者的病例资料。结果 男性18例,女性1例,发病年龄在29~53岁之间。体外循环时间(180.53±95.12)min,主动脉阻断时间(122.74±41.63)min。心脏自动复跳8例,9例经电除颤后全部恢复自主心跳,全部患者体外循环过程顺利,安返ICU。术后1例患者发生低心排综合征死亡,其余患者恢复良好,顺利出院。结论 CBD患者再次手术几率高,手术难度大,对体外循环要求高,合适的体外循环管理可为手术提供重要保障。Objective To summarize the experience of cardiopulmonary bypass(CPB)management for cardiovascular Behcet’s disease(CBD)patients undergoing surgical treatment.Methods The case data of 19 patients with CBD who underwent surgical treatment between March 2018 and May 2024 at Beijing Anzhen Hospital,Capital Medical University,were retrospectively analyzed.Results There were 18 males and 1 female,and the age of onset ranged from 29 to 53 years old.The CPB time was(180.53±95.12)min,and the aortic clamp time was(122.74±41.63)min.Automatic cardiac resuscitation was restored in 8 cases,while spontaneous heartbeat was restored in 9 cases by electrical defibrillation,and all the patients had a smooth CPB process and returned to the ICU.After the operation,1 patient died of low cardiac output syndrome,while the rest recovered well and were discharged from the hospital.Conclusion CBD patients have a high chance of reoperation,which is difficult and requires high quality of CPB,and appropriate CPB management provides an important guarantee for the operation.

关 键 词：心血管白塞氏病 外科治疗 体外循环 心肺转流 心肌保护 血液保护 

分 类 号：R654.1[医药卫生—外科学]