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新型持续低温心肌灌注体外循环不降温模式的应用研究

李树松 谭伟 曹辉庆 冯源 刘涛 李林强

中国体外循环杂志2017,Vol.15Issue(4):196-198,3.
中国体外循环杂志2017,Vol.15Issue(4):196-198,3.DOI:10.13498/j.cnki.chin.j.ecc.2017.04.02

新型持续低温心肌灌注体外循环不降温模式的应用研究

Continuous hypothermic myocardial perfusion during cardiopulmonary bypass without cooling down in congenital heart disease surgery

李树松 1谭伟 1曹辉庆 1冯源 1刘涛 1李林强1

作者信息

  • 1. 530003 南宁,广西南宁市第三人民医院
  • 折叠

摘要

Abstract

Objective To explore the value of continuous hypothermic perfusion during cardiopulmonary bypass( CPB) without cooling down in congenital heart disease surgery. Methods One hundred and one patients underwent heart surgery were randomly di-vided into two groups,with 46 cases in normothermia group and 55 cases in hypothermia group. CPB time, aortic clamping time, opera-tion time, hematuria, postoperative drainage, use of dopamine and lactate levels were compared between the two groups. Results CPB time and operation time in normothermia group were lower than those in hypothermia group ( P<0.05) , postoperative drainage, the a-mount of dopamine, lactate levels and hematuria were also lower than those in hypothermia group( P<0.05) . Conclusion Hypother-mic myocardial perfusion during cardiopulmonary bypass without cooling down in the application of congenital heart disease surgery can shorten the operation time significantly and shows effects of myocardial protection, as well as improving the surgical success rates.

关键词

常温体外循环/先天性心脏病/心脏外科/心肌保护

Key words

Normothermic CPB/Congenital heart disease/Cardiac surgery/Myocardial protection

引用本文复制引用

李树松,谭伟,曹辉庆,冯源,刘涛,李林强..新型持续低温心肌灌注体外循环不降温模式的应用研究[J].中国体外循环杂志,2017,15(4):196-198,3.

基金项目

南宁市科学研究与技术开发计划项目( 200802116C) ( 200802116C)

中国体外循环杂志

OACSTPCD

1672-1403

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