摘要
目的总结常温体外循环(ECC)在复杂腹主动脉瘤(AAA)开放手术中的应用经验。方法自2011年09月至2016年09月,吉林大学第二医院心血管外科行复杂腹主动脉瘤开放手术12例,其中动脉瘤累及腹腔干、肠系膜上动脉或双侧肾动脉6例,限制型破裂性AAA 2例,开放型破裂性AAA 4例。记录手术时间、ECC时间、阻断时间、住院时间、并发症等。结果 8例患者平均手术时间(9.2±1.4)h,ECC时间(107.5±30.9)min,腹主动脉阻断时间(79.7±26.3)min,住院天数(20.8±4.9)d,4例利用ECC管路输血,术后1例患者因感染出现多脏器衰竭死亡;其余11例患者均痊愈出院。结论常温ECC下的复杂腹主动脉瘤开放手术,能保证重要脏器的血供,维持术中良好的血流动力学,手术效果良好。
Objective To summarize the experience of application of normothermic cardiopulmonary bypass in open surgery of complex abdominal aortic aneurysms.Methods From September 2011 to September 2016,12 patients with complex abdominal aortic aneurysm underwent open surgery at the Second Hospital of Jilin University. Aneurysm involving the celiac,superior mesenteric artery or bilateral renal artery was found in six cases. Ruptured aneurysm was seen in another six cases,including two cases of limited rupture and four open ruptures. Operation time,ECC time,aortic occlusion time,length of hospital stay and incidence of complications were recorded. Results Eight patients underwent surgery with a mean operation time of（ 9.2±1.4） h,ECC time of（ 107.5±30.9） min,abdominal aorta occlusion time of（ 79.7±26.3） min and hospital stay of（ 20.8±4.9） days. Another four patients used ECC pipelines for blood transfusion.One patient suffered from multiple organ failure after infection and eventually died of septic shock. The remaining 11 patients were cured and discharged. Conclusion The surgical application of normothermic cardiopulmonary bypass in the treatment of complex abdominal aortic aneurysms can ensure the blood supply of vital organs and maintain stable intraoperative hemodynamics. The operation effect is good.
作者
罗宽
朱志成
许日昊
续晋宇
李博
柳克祥
张曙东
Luo Kuan;Zhu Zhicheng;Xu Rihao;Xu Jinyu;Li Bo;Liu Kexiang;Zhang Shudong(Department of Cardiovascular Surgery, the Second Hospital of Jilin University, Changchun 130041, China)
出处
《中国体外循环杂志》
2018年第2期107-110,共4页
Chinese Journal of Extracorporeal Circulation
基金
吉林省医疗卫生服务能力建设项目
关键词
复杂腹主动脉瘤
常温体外循环
人工血管
Complex abdominal aortic aneurysms
Normothermic cardiopulmonary bypass
Blood vessel prosthesis
