| 瓣膜病合并肝功能不全患者的体外循环管理 |
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| 引用本文： | 张风英,高扬,王利,王建清,贺文芳. 瓣膜病合并肝功能不全患者的体外循环管理[J]. 中国体外循环杂志, 2004, 2(1): 44-45 |
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| 作者姓名： | 张风英 高扬 王利 王建清 贺文芳 |
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| 作者单位： | 1. 北京市垂杨柳医院心脏外科,北京,100022
2. 大同市第五人民医院心胸外科,山西,大同,037006 |
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| 摘 要： | 目的 回顾52例瓣膜病变合并肝功能不全的行瓣膜置换术的患者，总结体外循环(CPB)经验。方法 CPB采取中度低温，保持较高的灌注压力。预充液加入白蛋白。心肌保护用高钾含血停搏液灌注。结果 结果CPB时间50～135min，主动脉阻断23～98min，心脏自动复跳率94％，无全心辅助和左心辅助，围术期死亡6人。结论 术中加强心肌保护的同时重视肝保护，可减轻术后心功能衰竭和肝功能衰竭，降低并发症和死亡率。
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| 关 键 词： | 瓣膜病 合并症 肝功能不全 体外循环 管理 瓣膜置换术 |
| 文章编号： | 1672-1403(2004)01-0044-02 |
| 修稿时间： | 2003-10-21 |
Management of Cardiopulmonary Bypass in Heart Valve Replacement of Patients with Liver Dysfunction |
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| Zhang Feng-ying ,Gao Yang ,Wang Li ,Wang Jian-qing ,HE Wen-fabg. Management of Cardiopulmonary Bypass in Heart Valve Replacement of Patients with Liver Dysfunction[J]. Chinese Journal of Extracorporeal Circulation, 2004, 2(1): 44-45 |
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| Authors: | Zhang Feng-ying Gao Yang Wang Li Wang Jian-qing HE Wen-fabg |
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| Affiliation: | Zhang Feng-ying 1,Gao Yang 2,Wang Li 2,Wang Jian-qing 2,HE Wen-fabg 2 |
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| Abstract: | OBJECTIVE To review the experience of 52 patients with heart valve diseases assciated with liver dysfunction undergoing cardiopulmonary dypass(CPB).METHODS Moderate hypothermia and maintaining higher infusion pressure were used during CPB. Albumin was added into the prime before CPB,blood cardioplegia was used for myocardial protection in all patients. RESULTS CPB time rangde from 50 to 135 min, the aortic clamped time rangde from 23 to 98 min. Resustitation of heart was 94%. 6 patients died in perioperation.CONCLUSION Strengthening myocardias protection and liver protection can reduce postoperative heart failure and liver failure, mortality and morbidity. |
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| Keywords: | cardiopulmonary bypass(CPB) heart valve replacement liver dysfunction |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
