| 重症心脏瓣膜置换术的体外循环管理 |
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| 引用本文： | 唐令凤,杨康,张玉霞,廖克龙,王海东.重症心脏瓣膜置换术的体外循环管理[J].重庆医学,2004,33(12):1773-1774. |
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| 作者姓名： | 唐令凤 杨康 张玉霞 廖克龙 王海东 |
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| 作者单位： | 第三军医大学西南医院胸心外科,重庆,400038;第三军医大学西南医院胸心外科,重庆,400038;第三军医大学西南医院胸心外科,重庆,400038;第三军医大学西南医院胸心外科,重庆,400038;第三军医大学西南医院胸心外科,重庆,400038 |
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| 摘 要： | 目的探讨重症心脏瓣膜置换术的体外循环管理.方法 3例采用深低温停循环,其余均采用中低温(26～31℃)体外循环方法.选用膜式氧合器,大剂量胶体预充,氧合血持续灌注,术中行常规和改良超滤相结合.结果本组体外循环时间43～232min,心肌阻断24～161min,停循环时间25～62min,心脏自动复跳率76%,死亡21例,余康复出院,随访生活质量满意.结论良好的体外循环管理可提高重症心脏瓣膜疾病救治率.
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| 关 键 词： | 重症心脏瓣膜疾病 瓣膜置换 体外循环 |
| 文章编号： | 1671-8348(2004)12-1773-02 |
The management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement |
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| TANG Ling-feng,YANG Kang,ZHANG Yu-xia,et al..The management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement[J].Chongqing Medical Journal,2004,33(12):1773-1774. |
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| Authors: | TANG Ling-feng YANG Kang ZHANG Yu-xia |
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| Abstract: | Objective To investigate the management of cardiopulmonary bypass to the operation of poor cardic function heart valve replacement.Methods Patients underwent cardiopulmonary bypass by hypothermia, combined conventional and modified ultrafiltration , membrane oxygenate, oxygenated blood perfuse continuously, large colloid priming ,and other three patients underwent deep hypothermic circulatory arrest.Results The cardiopulmonary bypass time ranged from 43min to 232 min, the aortic crossing clamping time 24-161 min, the circulatory arrest time 25-62 min, the rate of heart beat return spontaneously is 76%, Beside of twenty one patients death, the quality of others life was satisfaction.Conclusion The remedy rate of poor cardic function heart valve replacement may be elevated by upstanding management of cardiopulmonary bypass. |
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| Keywords: | poor cardic function heart valve replacement cardiopulmonary bypass |
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