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改良超滤法在婴幼儿体外循环手术中的应用
引用本文:李培杰,李朝晖,刘天起,刘鲁祁,王春祥.改良超滤法在婴幼儿体外循环手术中的应用[J].青岛大学医学院学报,2002,38(1):66-67.
作者姓名:李培杰  李朝晖  刘天起  刘鲁祁  王春祥
作者单位:山东省千佛山医院心脏外科,济南,250014
摘    要:①目的 探讨改良超滤法对婴幼儿心内直视手术的影响。②方法  1999年 1月~ 2 0 0 1年 1月行婴幼儿心内直视手术 2 7例 ,分为两组 ,治疗组采用改良超滤 ,对照组不用超滤 ,对两组病儿体外循环时间、呼吸机使用时间、术后水肿、术后出血及输血量等进行了比较。③结果 术后呼吸机辅助时间、术后出血量 ,两组比较有显著性差异 (t=2 .6 6 ,3.4 9,P <0 .0 5 ,0 .0 1)。④结论 改良超滤在体外循环中可快速有效的脱水 ,减少体外循环后的出血量 ,有利于病儿的术后恢复和呼吸机的脱离

关 键 词:超滤  体外循环  婴幼儿
文章编号:1001-4047(2002)01-0066-02
修稿时间:2001年5月28日

APPLICATION OF A MODIFIED TECHNIQUE OF ULTRAFILTRATION FOR PEDIATRIC OPENHEART SURGERY
Abstract:Objective\ To evaluate the effect of a modified technique of ultrafiltration on pediatric openheart surgery. Methods\ 27 pediatric openheart surgeries had been done between January, 1999 and January,2001. The patients were divided into two groups, i.e. the Control Group and the Treated Group. The modified technique of ultrafiltration was adopted by the Treated Group. The results were compared between the two groups in terms of the duration of cardiopulmonary bypass, duration of ventilator,postoperative oedema and bleeding and blood transfusion.\ Results\ The duration of ventilator and post operative bleeding were significantly lower in the Treated Group than those of the Control Group ( t=2.66, 3.49, P <0.05, 0.01). \ Conclusion The modified ultrafiltration can dehydrate rapidly and effectively during extracorpereal circulation, decrease postoperative bleeding and promote early recovery.
Keywords:ultrafiltration  extracorpereal circulation  infants and children
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