| 室间隔缺损并肺动脉高压体外循环转流102例 |
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| 引用本文： | 任沪平,李兆志.室间隔缺损并肺动脉高压体外循环转流102例[J].西安交通大学学报(医学版),1993(2). |
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| 作者姓名： | 任沪平 李兆志 |
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| 作者单位： | 西安医科大学心血管研究所，西安医科大学心血管研究所 西安 710061，西安 710061 |
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| 摘 要： | 作者总结了102例空间隔缺损并肺动脉高压体外循环转流的体会。为了减少术后并发症提高治愈率,应加强以下几点:转流平稳:灌流量2.4L/m~2,灌注压在5.3～10.6kPa。加强围术期全方位心肌保护。中度血液稀释HCT20%～30%,减少血液破坏,应用微栓过滤器,常规使用扩血管及正性肌力药物,以降低心脏前后负荷,改善心肌有效收缩,增加心排出量。
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| 关 键 词： | 体外循环 肺动脉高压 微栓过滤器 心肌保护 |
CARDIOPULMONARY BYPASS IN 102 PATIENTS WITH VENTRICULAR SEPTAL DEFECT WITH PULMONARY HYPERTENSION |
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| Ren Huping,Li Zhaozhi Institute of cardiovascular disease.CARDIOPULMONARY BYPASS IN 102 PATIENTS WITH VENTRICULAR SEPTAL DEFECT WITH PULMONARY HYPERTENSION[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1993(2). |
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| Authors: | Ren Huping Li Zhaozhi Institute of cardiovascular disease |
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| Institution: | Ren Huping;Li Zhaozhi Institute of cardiovascular disease |
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| Abstract: | Knowledge of cardiopulmonary bypass in 102patients, who have ventricular septal defect withpulmonary hypertension, is reported. The followingmeasures are used in order to increase operation efficiencies and to prevent postoperative complica-tions: stable perfusion-flow 2-4L/m~2, pressure. 5. 3～10. 6 kPa; more effective myocardial protectionin every aspect perioperatively; moderate hemodi-lution-HCT 20%～30%; using microembolus fil-ter; routine using positive cardiac inotropic agentsand vasodilators. |
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| Keywords: | cardiopulmonary bypass pulmonary hypertension microembolus filter myocardial protection |
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