| 不阻断升主动脉冠状动脉搭桥术的体外循环 |
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| 引用本文： | 杨慧,盛艳,魏淑艳,范建华.不阻断升主动脉冠状动脉搭桥术的体外循环[J].黑龙江医学,2000(8):1-2. |
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| 作者姓名： | 杨慧 盛艳 魏淑艳 范建华 |
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| 作者单位： | 1. 黑龙江省医院
2. 解放军第二一一医院 |
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| 摘 要： | 目的 :探讨不阻断升主动脉、不灌注停跳液 ,冠状动脉搭桥手术 (CABG)的体外循环 (CPB)方法。方法 :对我院 2 3例不阻断升主动脉冠状动脉搭桥手术的临床资料及体外循环情况 (人工心肺机类型、预充液组成、CPB操作步骤、CPB时间及心肌保护等 )做一回顾性总结。结果 :CPB时间 5 0～ 1 80min(平均 85min)。转流中不阻断升主动脉、不灌注停跳液、在低温心室颤动下行心室部位的血管桥吻合 ,并结合多头灌注管的桥灌注的方法较好地保护了心肌。结论 :CPB方法采用不阻断升主动脉 ,不灌注停跳液 ,低温 ,室颤 ,结合多头灌注管的桥灌注的CABG手术可减少心肌缺血再灌注损伤现象。
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| 关 键 词： | 不阻断升主动脉 冠状动脉搭桥手术 体外循环 心肌保护 |
Coronary Bypass under PCB without Blocking Ascending Aorta |
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| Yang Hui Sheng Yan Wei Shuyan et al,The Provincial Hospital of Heilongjiang.Coronary Bypass under PCB without Blocking Ascending Aorta[J].Heilongjiang Medical Journal,2000(8):1-2. |
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| Authors: | Yang Hui Sheng Yan Wei Shuyan The Provincial Hospital of Heilongjiang |
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| Institution: | Yang Hui Sheng Yan Wei Shuyan et al The Provincial Hospital of Heilongjiang |
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| Abstract: | Objective:To discuss a method on CABG under CPB without blocking ascending aorta and perfusion of cardiaplegia.Methods:23 cases of CABG were retrospectively studied with this method.The CPB time were 50～180 mins.The blood vessel anatomosis were performed when ventricle fibrillation under low temperature combined with bridge perfusion.Results:This method could protect myocardium well.Conclusion:The method to perform CABG under CPB without blocking ascending aorta and perfusion of cardiaplegia combined with bridge perfusion could reduce the myocardium injury caused by re-perfusion. |
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| Keywords: | CABG CPB Myocardial protection No blocking aorta |
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