部分体外循环在胸降主动脉瘤手术中的应用

目的 总结胸降主动脉瘤手术中采用部分体外循环的管理经验.方法 回顾性分析35例胸主动脉瘤手术中采用心脏不停跳部分体外循环资料,包括左心转流(左房-股动脉转流)、肺动脉-股动脉转流、股静脉-股动脉转流.结果 全组患者1例死亡,余34例痊愈出院,未发生体外循环相关的并发症.结论 胸降主动脉瘤手术采用部分体外循环,能有效的减少和避免神经系统和泌尿系统等并发症的发生.

Use of partial cardiopulmonary bypass for surgery of descending thoracic aneurysm

Objective To summarize the experience of use of partial cardiopulmonary bypass for surgery of descending thoracic aneurysm. Methods Thirty five patients were undertaken surgery of descending thoracic aneurysm using partial cardiopulmonary bypass and beating-heart technique in our hospital. The partial cardiopulmonary bypass includes left heart bypass (left atrial to femoral artery bypass), pulmonary artery to femoral artery bypass, femoral vein to femoral artery bypass. Results Only one patient died, the other thirty four patients experienced an uneventful recovery. There was no any complication related to partial cardiopulmonary bypass. Conclusion The use of partial cardiopulmonary bypass for surgery of descending thoracic aneurysm can reduce and avoid the complications of nervous system and urinary system effectively.