摘要
目的研究改良双侧脑灌注在DeBakeyI型急性主动脉夹层手术中应用的价值。方法14例DeBakeyI型急性主动脉夹层患者在深低温停循环下行手术治疗。术中采用主动脉弓腔内直视下行头臂干和左颈总动脉插管的改良双侧脑灌注技术进行脑保护。结果全组体外循环190—325min，平均（241．78±31．74）min，心肌阻断时间71～133min，平均（104．36±17．07）min，脑灌注时间32～70min，平均（53．50±9．25）min。全组患者仅1例出现短暂性脑神经功能异常，无脑梗塞，脑出血等其他中枢神经系统损伤。结论DeBakey Ⅰ型急性主动脉夹层手术中，采用经主动脉弓腔内直视下行头臂干和左颈总动脉插管的改良双侧脑灌注技术进行脑保护，其方法简便、安全、有效。
Objective To study the application of modified bilateral antegrade cerebral perfusion during DeBakey Ⅰ aortic dissection surgery. Method Fourteen patients with DeBakey Ⅰ aortic dissection underwent aortic arch surgery during hypothermia circulatory arrest, and modified bilateral antegrade selective cerebral perfusion using the innominate artery and the left common carotid artery. Results Mean cardiopulmonary bypass （CPB） time was 241.78 ± 31.74 min （range 190 -325 ）, mean myocardial ischemia time was 104.36 ± 17.07 min （range 71 - 133 ） , and mean ASCP time was 53.50 ± 9.25 min （range 32 -70）. Only one patient had transient neurologic deficit. Conclusion The described bilateral cerebral perfusion technique is safe and effective, and may be the preferred brain protection strategy.
出处
《临床外科杂志》
2009年第3期185-187,共3页
Journal of Clinical Surgery
关键词
双侧脑灌注
主动脉夹层
体外循环
bilateral antegrade selective cerebral perfusion
aortic dissection
cardiopulmonary bypass
