中国体外循环杂志2017，Vol.15Issue(3)：133-135,143,4.DOI:10.13498/j.cnki.chin.j.ecc.2017.03.02
顺行性脑灌注不同流量控制方法的脑保护研究
The cerebral protection effects of different methods of flow control in antegrade cerebral perfusion
潘绪 1汤楚中 1孙文婷 1李寒 1迟海涛 1张鹏宇1
作者信息
摘要
Abstract
Objective To summarize the cerebral protection effects of selective anterograde cerebral perfusion with different flow control methods for patients suffering from aortic dissection of Stanford type A who received total arch replacement.Methods From October 2010 to August 2015,there were 70 patients suffering from Stanford type A aortic dissection.According to different flow control methods,patients were divided into three groups.T1: 22 cases,simple flow control with cerebral perfusion flow of 5-10 ml/min/kg,T2: 24 cases,the cerebral perfusion flow was based on the left radial artery pressure ranged from 40 to 70 mmHg,T3: 24 cases,pump pressure control,the average pump pressure was maintained at 70 mmHg during cerebral perfusion.Time of consciousness after operation,mechanical ventilation time,transient neurological dysfunction rate (TND),permanent neurological dysfunction rate(PND) were compared among different groups.Results Time of consciousness after operation and mechanical ventilation time in patients received the pump pressure control anterograde cerebral perfusion were shorter,with fewer suffered from TND and PND.Conclusion In patients suffering from Stanford type A aortic dissection who received intraoperative anterograde cerebral perfusion,usage of pump pressure flow control method showed fewer interference factors and better cerebral protection effects,which was simple to deal with and worth promoting.关键词
主动脉夹层/顺行性脑灌注/流量控制/脑保护Key words
Aortic dissection/Anterograde cerebral perfusion/Flow control/Cerebral protection引用本文复制引用
潘绪,汤楚中,孙文婷,李寒,迟海涛,张鹏宇..顺行性脑灌注不同流量控制方法的脑保护研究[J].中国体外循环杂志,2017,15(3):133-135,143,4.
