生物医学工程研究
生物醫學工程研究
생물의학공정연구
JOURNAL OF BIOMEDICAL ENGINEERING RESEARCH
2015年
2期
120-121
,共2页
于建民%李培杰%许莉%陈善良%王明华
于建民%李培傑%許莉%陳善良%王明華
우건민%리배걸%허리%진선량%왕명화
冠状动脉分流术%体外循环%心脏外科%手术并发症%膜式氧合器
冠狀動脈分流術%體外循環%心髒外科%手術併髮癥%膜式氧閤器
관상동맥분류술%체외순배%심장외과%수술병발증%막식양합기
Coronary artery bypass graft%Extracorporeal circulation%Cardiac surgery%Operation complication%Membrane oxygenator
对冠状动脉搭桥术备体外循环的湿备模式进行改良,以达到即满足临床需要,又节省医疗资源的预期。采用储血器、微栓滤器、接头和管道连接并预充排气的湿备模式,术中根据需要再连接氧合器。232例冠状动脉搭桥术的患者,术中因血压偏低转为体外循环辅助下冠脉搭桥共7例,平均用时约2~3 min。此种改良湿备模式能更好地满足冠状动脉搭桥术备体外循环的需要,并可节约大量医疗资源。
對冠狀動脈搭橋術備體外循環的濕備模式進行改良,以達到即滿足臨床需要,又節省醫療資源的預期。採用儲血器、微栓濾器、接頭和管道連接併預充排氣的濕備模式,術中根據需要再連接氧閤器。232例冠狀動脈搭橋術的患者,術中因血壓偏低轉為體外循環輔助下冠脈搭橋共7例,平均用時約2~3 min。此種改良濕備模式能更好地滿足冠狀動脈搭橋術備體外循環的需要,併可節約大量醫療資源。
대관상동맥탑교술비체외순배적습비모식진행개량,이체도즉만족림상수요,우절성의료자원적예기。채용저혈기、미전려기、접두화관도련접병예충배기적습비모식,술중근거수요재련접양합기。232례관상동맥탑교술적환자,술중인혈압편저전위체외순배보조하관맥탑교공7례,평균용시약2~3 min。차충개량습비모식능경호지만족관상동맥탑교술비체외순배적수요,병가절약대량의료자원。
To modify the preparation methods of the ECC circuts prepared with priming in off -pump CABG to save the medical re-sources and meet the clinical urgent need.The pipe and connector were used to connect reservoir and arterial filter and primed them with liquid and Heparin and just connected the oxygenator in urgent situation.The results showed that seven cases of 232 patients were transformed to on -pumping CABG due to hypotension.The mean time of connecting the oxygenator was 2 ~3 min.This modified con-nection methods of the ECC circuts prepared with priming can meet the urgent need of off -pumping CABG and greatly save the medi-cal resources.