川北医学院学报2017，Vol.32Issue(3)：348-351,4.DOI:10.3969/j.issn.1005-3697.2017.03.009
主动脉全弓置换术中自体血小板分离采集的麻醉管理
Anesthesia management for autologous plateletpheresis during aortic arch replacement surgery
摘要
Abstract
Objective:To summarize the experience of anesthesia management in aortic arch replacement surgery using autologous plateletpheresis technique.Methods:Collected the clinical data of 61 patients undergoing total aortic arch replacement using autologous plateletpheresis technique in our hospital were collected,the results of intraoperative platelet separation and the data of heart rate,blood pressure,vasoactive drugs and postoperative complications were collected.Retrospective analysis the effect of intraoperative platelet separation and collection technique on anesthesia management.Results:The whole plateletpheresis process was accomplished successfully in all cases except one patient who encountered a ventricular fibrillation induced by a severe hypotension during the plateletpheresis process.During the operation period,(2,265±386)mL of whole blood were processed and divided into autologous platelet-rich plasma (230±52)mL, autologous plasma (926±152)mL, and autologous red cells (592±124)mL.The separation and collection process had obvious influence on hemodynamics,including hypotension (65.6%),tachycardia (23%),bradycardia (9.8%) and so on.Except for 1 cases of ventricular fibrillation caused by severe hypotension (rescue success),the rest of them were transient or rapidly improved after treatment.And the total usage rate of vasoactive agents was 43.5%.There were no related anesthesia complications and dead cases in the perioperative period.Conclusion:Autologous plateletpheresis technology has a certain impact on the circulatory function,mainly for low blood pressure and heart rate changes,anesthesia management should be closely monitored and comprehensive regulation of hemodynamics,to maintain circulation stability and protect the safety of patients.关键词
自体血小板分离/血液保护/麻醉/心血管手术Key words
Autologous plateletpheresis/Blood conservation/Anesthesia/Cardiovascular surgery分类
医药卫生引用本文复制引用
柴云飞,张建军,雷黎明,罗志超,周成斌..主动脉全弓置换术中自体血小板分离采集的麻醉管理[J].川北医学院学报,2017,32(3):348-351,4.基金项目
广东省卫生厅课题(A2016051) （A2016051）
