中国体外循环杂志2024，Vol.22Issue(3)：171-176,6.DOI:10.13498/j.cnki.chin.j.ecc.2024.03.02
左心室辅助装置植入术的体外循环管理
The experience of cardiopulmonary bypass management of left ventricular assist device surgery
摘要
Abstract
Objective To summarize the experience of cardiopulmonary bypass management of left ventricular assist device surgery in order to improve the prognosis of patients.Methods Retrospective analysis of the management points and clinical data of 42 cases of left ventricular assist device implantation performed in the Department of Cardiology,Fuwai Hospital,2017.6-2021.12 were conducted.Results 42 patients underwent left ventricular assist device insertion surgery,and all of them were successfully removed from the extracorporeal circulation assist.Among them,37 patients survived with pumps,2 patients had heart transplantation,1 patient had improved heart function and removed LVAD,1 patient died of lung infection and 1 patient died of multiple organ failure.Conclusion Most patients with LVAD have long-term chronic heart failure.Modified preflushing scheme,controlled ultrafiltration volume,optimized volume management,and adjusted flow rate are compatible with ventricular assist devices to improve patient prognosis.关键词
终末期心力衰竭/左心室辅助装置/心肺转流管理Key words
End-stage heart failure/Left ventricular assist device/Cardiopulmonary bypass management引用本文复制引用
王建,王添隆,吉冰洋,高国栋,袁媛,闫姝洁,刘刚,高思哲,闫伟东,王靖,张寒..左心室辅助装置植入术的体外循环管理[J].中国体外循环杂志,2024,22(3):171-176,6.基金项目
中国医学科学院临床与转化医学研究基金(2020-I2M-C&T-B-054) （2020-I2M-C&T-B-054）
