吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
22期
4868-4869
,共2页
急诊体外循环%心外科术%手术成功率%存活率
急診體外循環%心外科術%手術成功率%存活率
급진체외순배%심외과술%수술성공솔%존활솔
Emergency extracorporeal circulation%Cardiac surgical procedures%The success rate of surgery%survival rate
目的：研究并讨论在心血管外科中应用急诊体外循环的经验和临床疗效，并对急诊体外循环在临床中应用指征的作用进行探讨。方法：选取进行急诊体外循环术救治的50例患者，其中包括5例心脏肿瘤，12例心瓣膜功能不全，14例冠状动脉的旁路移植手术，7例大血管手术，2例外伤性的心脏破裂，4例患者实施法洛四联症的急性缺氧的矫治手术和6例先天性的心脏病介入治疗失败急诊术。结果：进行急诊体外循环手术的50例患者中，在手术后有45例存活，其手术的成功率是90%。结论：急诊体外循环术是心外科中救治急危重患者的一种重要有效措施，也是临床上救治心外科患者的唯一有效方案，但在治疗过程中需要多科室进行协作，并及时掌握手术中的各项指征，及时建立体外循环，减少术后并发症的发生，从而提高手术的成功率。
目的：研究併討論在心血管外科中應用急診體外循環的經驗和臨床療效，併對急診體外循環在臨床中應用指徵的作用進行探討。方法：選取進行急診體外循環術救治的50例患者，其中包括5例心髒腫瘤，12例心瓣膜功能不全，14例冠狀動脈的徬路移植手術，7例大血管手術，2例外傷性的心髒破裂，4例患者實施法洛四聯癥的急性缺氧的矯治手術和6例先天性的心髒病介入治療失敗急診術。結果：進行急診體外循環手術的50例患者中，在手術後有45例存活，其手術的成功率是90%。結論：急診體外循環術是心外科中救治急危重患者的一種重要有效措施，也是臨床上救治心外科患者的唯一有效方案，但在治療過程中需要多科室進行協作，併及時掌握手術中的各項指徵，及時建立體外循環，減少術後併髮癥的髮生，從而提高手術的成功率。
목적：연구병토론재심혈관외과중응용급진체외순배적경험화림상료효，병대급진체외순배재림상중응용지정적작용진행탐토。방법：선취진행급진체외순배술구치적50례환자，기중포괄5례심장종류，12례심판막공능불전，14례관상동맥적방로이식수술，7례대혈관수술，2예외상성적심장파렬，4례환자실시법락사련증적급성결양적교치수술화6례선천성적심장병개입치료실패급진술。결과：진행급진체외순배수술적50례환자중，재수술후유45례존활，기수술적성공솔시90%。결론：급진체외순배술시심외과중구치급위중환자적일충중요유효조시，야시림상상구치심외과환자적유일유효방안，단재치료과정중수요다과실진행협작，병급시장악수술중적각항지정，급시건입체외순배，감소술후병발증적발생，종이제고수술적성공솔。
Objective To study and discuss the experience and clinical outcomes of 50 patients in cardiovascular surgery patients in e-mergency cardiopulmonary bypass surgery,and the role of emergency cardiopulmonary bypass clinical indications in the application were discussed. Method 50 patients who performed cardiac surgery emergency cardiopulmonary bypass surgery for treatment were selected,in-cluding 5 cases of cardiac tumors,12 cases of heart valve insufficiency,coronary artery bypass 14 cases transplant,seven cases of major vas-cular surgery,two cases of traumatic cardiac rupture,4 patients implementation tetralogy of Fallot acute hypoxia treatment of congenital heart surgery and six cases of interventional treatment failure in emergency surgery. Results The results showed that the conduct of emergency cardiopulmonary bypass surgery in 50 patients,in 45 patients survived after surgery,the surgical success rate was 90%. Conclusion Emergency cardiopulmonary bypass surgery is an important and effective measure in the treatment of critically ill cardiac sur-gery patients,but also on the clinical treatment of patients with cardiac surgery the only effective solution,but in the course of disease treat-ment requires multiple departments to collaborate and grasp each surgery item indications,the timely establishment of cardiopulmonary by-pass,reduces the incidence of postoperative complications,increases the success rate of surgery.
