CAJ | 학술논문

目的：分析导致膜肺氧合不良的原因并探讨相应的防范措施。方法回顾分析2013年1月至2014年6月期间10例主动脉夹层手术病例资料。体外循环（ CPB）使用Medtronic Affinity NT集成CVR膜式氧合器，2例手术期间血液及积血直接回收至预充且肝素化的氧合器中，8例通过cell saver 5型血液回收机回收大量积血，CPB中将洗涤后的红细胞回收至氧合器。结果积血直接入氧合器2例发生氧合不良，余8例无氧合不良。结论胸腔及心包大量积血回收至氧合器可致氧合不良。血液回收机洗涤大量积血可避免氧合器氧合不良的发生。
목적：분석도치막폐양합불량적원인병탐토상응적방범조시。방법회고분석2013년1월지2014년6월기간10례주동맥협층수술병례자료。체외순배（ CPB）사용Medtronic Affinity NT집성CVR막식양합기，2례수술기간혈액급적혈직접회수지예충차간소화적양합기중，8례통과cell saver 5형혈액회수궤회수대량적혈，CPB중장세조후적홍세포회수지양합기。결과적혈직접입양합기2례발생양합불량，여8례무양합불량。결론흉강급심포대량적혈회수지양합기가치양합불량。혈액회수궤세조대량적혈가피면양합기양합불량적발생。
Objective To analyze the causes of poor oxygenation and to explore the appropriate precautions. Methods Ten?cases of repair of aortic dissection were recruited from January 2013 to June 2014. Results The pericardial blood collectionof 2 cases were recovered during surgery through the pre-charged and heparinized Medtronic Affinity NT integrated CVR membrane oxygenator and caused pooroxygenation. Blood Clots of eight cases were washed by cell saver 5 type. Packed red blood cells filtered out by CPB were recovered to Medtronic Affinity NT integrated CVR membrane oxygenator. None had poor oxygenation. Conclusion Recovery of blood from the pleural and pericardial cavitie can result in impaired oxygenationin the membrane oxygenator. which can be avoidedby washing the blood in the cell saver.