非体外循环下肝素化布-加综合征根治术临床研究

目的：总结非体外循环下肢素化布－加综合征根治术临床治疗经验。方法：1997年11月至2002年4月采用非体外循环、肝素化对36例布－加综合征病人施行了根治术。在肝素化前提下，完成了下腔静脉远端球囊阻断、可控制性放血、负压吸引血液回收、经右心房插管血液回输等手术关键环节。结果：术中全组无1例输异体血，无重大手术并发症，无手术死亡，下腔静脉压下降显著。结论：该术式简化了体外循环和深低温停循环下布－加综合征根治术的手术程序，保证了手术效果。

Clinical study on open angioplasty of Budd-Chiari syndrome in off-pump cardiopulmonary bypass and heparinization

Objective: To summarize the experience of treatment on open angioplasty of Budd-Chiari syndrome(BCS) in off-pump cardiopulmonary bypass (N-CPB) and heparinization. Methods: 36 patients with BCS received open angioplasty under N-CPB and heparinization from November, 1997 to April, 2002. The operation includes following key points: heparinization of blood in patient's body, blocking the side to proximal heart and the another side of the obstruction in inferior vena cava (IVC) by a belt and a Foley's catheter, blooding controlled, blood retrieved by negative pressure, and the blood transfused through the cannulas in right atrium. Results: No patients transfused stocking blood in operating period. All of them were cured. The IVC pressure dropped obviously. There weren't existing serious postoperative complications. Conclusions: Comparing with the way in CPB and deep hypothermic circulatory arrest, this way may simplify processes on open angioplasty of BCS, reduce operating injury and ensure effect of the operation.