中国体外循环杂志2017，Vol.15Issue(3)：166-168,3.DOI:10.13498/j.cnki.chin.j.ecc.2017.03.10
主动脉夹层杂交手术治疗的体外循环管理
Management of cardiopulmonary bypass in hybrid operation of aortic dissection
王雪延 1李全正1
作者信息
- 1. 300052 天津,天津医科大学总医院心血管外科
- 折叠
摘要
Abstract
Objective To review the experience of cardiopulmonary bypass(CPB) management in the hybrid procedures of aortic dissection.Methods From January 2014 to December 2015,18 patients with aortic dissection underwent hybrid operation.Mild hypothermia and conventional flow CPB were performed.According to the operation requirments,a transient CPB stop might be used,at the same time selective brain and right upper limb regional perfusion were applied.After weaning from CPB,thoracic endovascular aortic repair(TEVAR) began.Results CPB time,aortic crossclamp time and circulatory arrest time were 76-253(152.88±47.29) mins,32-146(84.22±33.16) mins and 0-7(1.50±2.25) mins,repectively.The lowest nasopharyngeal temperature was 30℃-32℃.Postoperatively 1 case (5.5％) died of myocardial infarction,the other 17 cases were cured.Conclusion Mild hypothermia CPB is safe and reliable for aortic dissection surgery.It is helpful to the safety of perioperative patients with cooperation by perfusionists,surgeons and anesthetists.关键词
主动脉夹层/杂交手术/体外循环/脑保护/团队合作Key words
Aortic dissection/Hybrid procedure/Cardiopulmonary bypass/Brain protection/Teamwork 引用本文复制引用
王雪延,李全正..主动脉夹层杂交手术治疗的体外循环管理[J].中国体外循环杂志,2017,15(3):166-168,3.
