| 腋动脉插管联合股动脉插管在Stanford A型主动脉夹层手术中的应用 |
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| 引用本文： | 张曦,陈建峰,肖诗亮.腋动脉插管联合股动脉插管在Stanford A型主动脉夹层手术中的应用[J].心肺血管病杂志,2019(3):255-258. |
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| 作者姓名： | 张曦 陈建峰 肖诗亮 |
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| 作者单位： | 1.华中科技大学同济医学院附属协和医院心外科 |
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| 摘 要： | 目的:探讨腋动脉插管联合股动脉插管在Stanford A型主动脉夹层手术中的应用。方法:对79例Stanford A型主动脉夹层患者经腋动脉插管联合股动脉插管建立体外循环进行手术。结果:2例(2.5%)在术中出现假腔灌注,1例在术中出现不可控出血,4例(5.0%)脑部并发症, 1例(1.3%)肺部感染,4例死亡,1例术后不清醒,1例偏瘫,3例出现插管位置皮肤延迟愈合、感染,2例(2.5%)肾功能不全,术后均未出现插管远端肢体缺血及神经损伤。全组体外循环时间188～321 min,平均(231±30.1)min,心肌阻断时间67～152 min,平均(95±21.1)min,全身停循环时间2～5 min,平均(3±0.8)min。结论:腋动脉插管联合股动脉插管能有效保证重要器官的灌注、减少插管并发症、缩短全身停循环时间,安全用于累及弓部的Stanford A型主动脉夹层手术。
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| 关 键 词： | Stanford A型主动脉夹层 体外循环 动脉插管 心脏外科手术 |
The application of axillary artery cannulation combined with femoral artery cannulation in Stanford A aortic dissection operations |
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| ZHANG Xi,CHEN Jianfeng,XIAO Shiliang.The application of axillary artery cannulation combined with femoral artery cannulation in Stanford A aortic dissection operations[J].Journal of Cardiovascular and Pulmonary Diseases,2019(3):255-258. |
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| Authors: | ZHANG Xi CHEN Jianfeng XIAO Shiliang |
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| Institution: | (Department of Cardiovascular Sur?gery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China) |
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| Abstract: | ZHANG Xi;CHEN Jianfeng;XIAO Shiliang(Department of Cardiovascular Sur?gery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China) |
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| Keywords: | Stanford A aortic dissection Cardiopulmonary bypass Artery cannulation Cardiac surgery |
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