醫(yī)學(xué)免費(fèi)論文:體外循環(huán)在非心臟外科手術(shù)中的應(yīng)用
【摘要】 目的 探討體外循環(huán)技術(shù)在非心臟外科手術(shù)中的臨床療效。方法 1996年7月至2008年4月我院在11例非心臟外科手術(shù)中應(yīng)用體外循環(huán)技術(shù),其中在體外循環(huán)下行左側(cè)局部晚期肺癌擴(kuò)大根治術(shù)3例,肺動(dòng)脈栓塞取栓術(shù)2例,氣管腫瘤切除2例,布加綜合征根治術(shù)2例,縱隔腫瘤切除術(shù)2例。結(jié)果 11例病人全部康復(fù)出院。11例患者隨訪6~36個(gè)月,1例肺癌存活10月后死亡;另2例肺癌患者術(shù)后13及15個(gè)月仍存活;2例肺動(dòng)脈栓塞取栓術(shù)患者恢復(fù)正常工作;2例布加綜合征根治術(shù)患者術(shù)后已存活6個(gè)月;2例縱隔腫瘤切除術(shù)患者術(shù)后分別存活13及15個(gè)月。結(jié)論 體外循環(huán)技術(shù)在非心臟外科手術(shù)中的應(yīng)用已取得了較好的療效,可為臨床治療危重病人提供重要救治手段,具有臨床應(yīng)用價(jià)值。
【關(guān)鍵詞】 體外循環(huán);外科手術(shù);非心臟外科手術(shù)
Application of cardiopulmonary by pass in nonheart surgery
LIN Feng,LIANG Yuepei, SONG Jianfei, LI Angui, DU Zhenzong, ZHENG Min, WANG Wei, LI Mu (Department of Cardiothoracic Surgery, Guilin Medical College, Guilin Guangxi 541001,China)
Abstract: Objective To study the application of cardiopulmonary by pass (CPB) in nonheart surgery. Methods Extracorporeal circulation was used in 11 noncardiovascular operations from 1996 the july to April the 2008. The CPB were applied in 3 cases of extensive radical surgery for left advanced lung cancer, 2 cases of removal of thrombus in pulmonary artery, 2 cases of tracheal tumors excision , 2 cases of radical surgery for BuddChiari syndrome,2 cases of mediastinal tumors excision. Results All 11 cases were cured and followed up for 6 to 36 months. 1 case of lung cancer died 10 months later,and the other 2 still lived 13 and 15 months later. 2 cases of pulmonary embolism return to work, 2 cases of BuddChiari syndrome still lived 6 months later, 2 cases of mediastinal tumors lived after 13 and 15 months. Conclusion CPB in nonheart surgery is effective in clinic and can be a life saving approach in some critical cases in addition to heart surgery.
Keywords: cardiopulmonary by pass(CPB) ; surgery; noncardiac surgery
體外循環(huán)(cardiopulmonary by pass, CPB)技術(shù)應(yīng)用于心臟以外的手術(shù),可提供無血手術(shù)野,有效回收病人術(shù)中失血,及時(shí)有效循環(huán)灌注,大大減少庫血的使用及并發(fā)癥,有效降低手術(shù)的風(fēng)險(xiǎn),為重大、復(fù)雜的外科手術(shù)提供有利的條件[12]。1996年7月至2008年4月我們將CPB技術(shù)用于11例非心臟外科手術(shù)中。本文就此11例患者的臨床資料進(jìn)行分析,探討體外循環(huán)技術(shù)在非心臟外科領(lǐng)域中的臨床應(yīng)用效果,旨在拓寬CPB應(yīng)用范圍,為臨床救治重癥病人提供參考醫(yī).學(xué).全.在.線m.f1411.cn。
1 資料與方法
1.1 臨床資料