中国体外循环杂志2016，Vol.14Issue(4)：209-212,4.DOI:10.13498/j.cnki.chin.j.ecc.2016.04.05
少血预充体外循环技术对新生儿心脏手术临床结果的影响
The influence of neonatal bloodless cardiopulmonary bypass on clinical outcomes of neonatal cardiac surgery
沈佳 1唐嘉忠 1张蔚 1姜磊 1郭铮 1朱德明 1王伟 1杨寅愉1
作者信息
- 1. 200127 上海，上海交通大学医学院附属上海儿童医学中心心胸外科体外循环科
- 折叠
摘要
Abstract
Objective This retrospective study is to evaluate the effects of bloodless cardiopulmonary bypass (CPB) on the clinical outcomes of neonatal cardiac surgery. Methods New techniques such as the infant CPB circuit, optimization of modified ultra⁃filtration ( MUF) , autologous blood revoveryand bank blood washing course by cell saver, were used in our centerfrom January 2014. Neonates undergoing Arterial Switch Operation ( ASO) from 2013 to 2015 were classified into two groups:Group A included 38 infants who underwent operations in 2013, while Group B included 53 infants who underwent operations in 2014 and 2015. In this study, the bank-stored blood volume used in operation, CPB techniques as well as the clinical outcomes were compared between groups. Results Compared to Group A, patients in Group B required less blood transfusion during CPB whilst more cases used mild hypothermia by⁃pass, and had lower lactate level and higher hemoglobin value when returned to ICU, but there was no difference in the length of ICU and hospital stay. Conclusion Neonates undergoing ASO had better clinical outcomes with miniaturization of CPB circuit, modifica⁃tion of MUF method and the technology of autologous blood recovery.关键词
新生儿/大动脉调转术/体外循环/超滤/洗涤库血/自体血液回收Key words
Infant/Arterial switch operation/Cardiopulmonary bypass/Ultrafiltration/Cell saver/Autologous blood recovery引用本文复制引用
沈佳,唐嘉忠,张蔚,姜磊,郭铮,朱德明,王伟,杨寅愉..少血预充体外循环技术对新生儿心脏手术临床结果的影响[J].中国体外循环杂志,2016,14(4):209-212,4.
