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体外循环在非心脏外科手术中的应用 被引量:8

Application of cardiopulmonary by pass in non-heart surgery
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摘要 目的探讨体外循环技术在非心脏外科手术中的临床疗效。方法1996年7月至2008年4月我院在11例非心脏外科手术中应用体外循环技术,其中在体外循环下行左侧局部晚期肺癌扩大根治术3例,肺动脉栓塞取栓术2例,气管肿瘤切除2例,布加综合征根治术2例,纵隔肿瘤切除术2例。结果11例病人全部康复出院。11例患者随访6~36个月,1例肺癌存活10月后死亡;另2例肺癌患者术后13及15个月仍存活;2例肺动脉栓塞取栓术患者恢复正常工作;2例布加综合征根治术患者术后已存活6个月;2例纵隔肿瘤切除术患者术后分别存活13及15个月。结论体外循环技术在非心脏外科手术中的应用已取得了较好的疗效,可为临床治疗危重病人提供重要救治手段,具有临床应用价值。 Objective To study the application of cardiopulmonary by pass(CPB) in non-heart surgery.Methods Extracorporeal circulation was used in 11 non-cardiovascular 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 Budd-Chiari 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 Budd-Chiari syndrome still lived 6 months later,2 cases of mediastinal tumors lived after 13 and 15 months.Conclusion CPB in non-heart surgery is effective in clinic and can be a life saving approach in some critical cases in addition to heart surgery.
出处 《局解手术学杂志》 2009年第4期229-230,共2页 Journal of Regional Anatomy and Operative Surgery
关键词 体外循环 外科手术 非心脏外科手术 cardiopulmonary by pass(CPB) surgery non-cardiac surgery
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