摘要
Abstract
Objective To evaluate the effect of emergency extracorporeal circulation on emergency treatment of imminent patients. Methods Total 86 imminent patients, included 57 male and 29 female, aged from 0. 5 month to 80 years ( mean 26 ), underwent emergency extracorporeal circulation. Among these patients, 11 suffered from sudden cardiac arrest ( included 6 occurred in ICU or wards and 5 in operating room or during interventional treatment), 15 underwent emergency coronary artery bypass graft, 5 suffered from emergency during interventional occlusion of ventricular septal defect, 6 suffered from iatrogenic injury in heart or great vessel occurred during interventional treatment, and 9 from heart or great vessel injury during operation, 8 infants underwent emergency operation because of congestive heart failure, pneumonia or dyspnea ( included 3 infants underwent tracheal intubation and ventilatory support), 6 tetralogy of Fallot patients suffered from anoxic blue spells. 4 infective endocarditis patients needed emergency operation, 3 suffered from left atrial myoxoma and the myoxoma obstructed the mitral orifice and other 19 patients because of some other reasons, such as rapture of left atrium or ventricle, bleeding in right ventricle, residual valvular tissue which impede opening and closing of artificial valve, etc. Emergency extracorporeal circulation methods included sub -hypothermia in 64, moderate hypothermia in 15, cor sinistrum aid bypass in 4 and profound hypothermia and low flow in 3 patients. Results There were 79 patients survived ( survival rate was 91. 86% ). Following up from 1 month to 8 years in 79 survival and they are all lived well. Conclusion Establishing emergency extracorporeal circulation as early as possible, improving the emergency extracorporeal circulation technique and intensive treatment before and after operation can improve the survival rate of emergency treatment of imminent patients.关键词
急诊/体外循环/危重患者/心肺脑复苏/浅低温/改良超滤Key words
Emergency/ Extracorporeal circulation/ Imminent patients/ Cardio - pulmonary - cerebral resuscitation/ Sub -hypothermia/ Modified ultrafiltration分类
医药卫生
