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| 瓣膜手术后急性心脏功能衰竭体外膜式氧合治疗 | |
| 引用本文： | 罗智敏,贾明,周晔,侯晓彤,顾承雄,黄方炯,孟旭,张健群,贾士杰. 瓣膜手术后急性心脏功能衰竭体外膜式氧合治疗[J]. 心肺血管病杂志, 2010, 29(3): 174-176. DOI: 10.3969/j.issn.1007-5062.2010.03.002 |
| 作者姓名： | 罗智敏 贾明 周晔 侯晓彤 顾承雄 黄方炯 孟旭 张健群 贾士杰 |
| 作者单位： | 1. 心脏外科监护室,北京首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,100029 2. 体外循环,北京首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,100029 3. 心脏外科,北京首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,100029 |
| 摘 要： | 目的:探讨体外膜式氧合(ECMO)治疗瓣膜手术后急性心脏功能衰竭的经验。方法:回顾2005年9月至2009年7月期间,我院心脏外科监护病房(ICU)收治70例瓣膜手术后因急性心脏功能衰竭接受ECMO辅助的患者的临床资料。男性43例,女性27例,年龄15～74岁,平均(53±12)岁,采用静脉-动脉(V-A)转流模式。结果:46例(65.7%)成功脱离ECMO,38例(54.3%)痊愈出院。平均ECMO辅助中位数时间59(1,206)h,平均监护室停留中位数时间4(1,19)d。主要并发症为出血21(30.0%)例,感染9(12.8%)例,肾功能衰竭需要透析17(24.2%)例,氧合器血浆渗漏20(28.5%)例及肢体缺血3(4.2%)例。结论:ECMO是治疗瓣膜手术后急性心脏功能衰竭的一种有效的机械辅助方法,及时安装并积极防治并发症可降低死亡率。 |
| 关 键 词： | 体外膜式氧合 瓣膜手术 心脏功能衰竭 心脏外科手术 |
Extracorporeal membrane oxygenation support for acute heart function failure in patients after valvular operation |
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| LUO Zhimin,JIA Ming,ZHOU Ye,HOU Xiaotong,GU Chengxiong,HUANG Fangjiong,MENG Xu,ZHANG Jianqun,JIA Shijie. Extracorporeal membrane oxygenation support for acute heart function failure in patients after valvular operation[J]. Journal of Cardiovascular and Pulmonary Diseases, 2010, 29(3): 174-176. DOI: 10.3969/j.issn.1007-5062.2010.03.002 | |
| Authors: | LUO Zhimin JIA Ming ZHOU Ye HOU Xiaotong GU Chengxiong HUANG Fangjiong MENG Xu ZHANG Jianqun JIA Shijie |
| Affiliation: | LUO Zhimin,JIA Ming,ZHOU Ye,HOU Xiaotong,GU Chengxiong,HUANG Fangjiong,MENG Xu,ZHANG Jianqun,JIA Shijie Department of Post-operation Intensive Care Unit of the Cardiac Surgery,Capital Medical University affiliated Beijing Anzhen Hospital-Beijing Institute of Heart,Lung , Blood Vassel Diseases,Beijing 100029,China |
| Abstract: | Objective:To investigate the treatment experience of extracorporeal membrane oxygenation(ECMO) support for acute heart function failure in patients after valvular operation.Methods:Retrospectively analyze the clinical data of 70 patients underwent valvular operation supported with ECMO in cardiac intensive care unit from September 2005 to July 2009.The cardiac operations included mitral valve replacement/repair(n = 13),aortic valve replacement(n = 10),double valvular replacement(n = 6),mitral/aortic valve r... |
| Keywords: | Extracorporeal membrane oxygenation Valvular operation Heart function failure Cardiac surgical procedures |
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