| 大血管手术后的急性肺损伤 |
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| 引用本文： | 白浪,薛张纲,蒋豪. 大血管手术后的急性肺损伤[J]. 中华麻醉学杂志, 1999, 19(2): 75-77 |
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| 作者姓名： | 白浪 薛张纲 蒋豪 |
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| 作者单位： | 上海医科大学附属中山医院麻醉科 |
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| 摘 要： | 目的 研究大血管手术 (MVS)后引起急性肺损伤 (AL I)的原因。方法 将 47例接受大血管手术的病人分为损伤组和非损伤组 ,应用回顾性分析方法 ,研究造成 AL I的相关因素。结果 损伤组的手术时间 ,动脉阻断时间 ,术中出血量 ,术中输库血量及手术日补液量皆显著高于非损伤组。结论 缺血再灌注和大量输注库血可能是引发 MVS后 AL I的主要因素。
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| 关 键 词： | 呼吸窘迫综合征 成人型 血管外科手术 肺损伤 |
Acute lung injury following major vascular surgery |
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| BAI Lang,XUE Zhanggang,JIANG Hao. Acute lung injury following major vascular surgery[J]. Chinese Journal of Anesthesilolgy, 1999, 19(2): 75-77 |
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| Authors: | BAI Lang XUE Zhanggang JIANG Hao |
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| Affiliation: | BAI Lang,XUE Zhanggang,JIANG Hao.Department of Anesthesiology,ZhongShan Hospital,Shanghai Medical University,Shanghai 200032 |
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| Abstract: | Objective To investigate the cause of acute lung injury(ALI) following major vascular surgery(MVS).Methods Forty seven patients undergoing MVS were divided into two groups:ALI group and non ALI group.Retrospective study was made to determine which factor was relate to postoperative ALI.Results Operative duratian, aortic clamping time and amounts of intraoperative blood loss,transfusion of banked blood and fluid administration on the operation day were significantly more in ALI group than those in non ALI group(P<0.05,respectively).Conclusion Ischemia/reperfusion and massive transfusion of banked blood may mainly contribute to ALI following MVS. |
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| Keywords: | Respiratory distress syndrome adult Vascular surgery |
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