體外循環(huán)心臟跳動(dòng)中心內(nèi)直視手術(shù)2100例臨床分析(存儲(chǔ)版)
【正文】 切口2 069例，右前外側(cè)小切口開(kāi)胸31例。Open heart surgery； Extracorporeal circulation。KKME專業(yè)醫(yī)學(xué)搜索引擎體外循環(huán)心臟跳動(dòng)中心內(nèi)直視手術(shù)2100例臨床分析作者：肖穎彬,陳林,王學(xué)鋒 作者單位：第三軍醫(yī)大學(xué)新橋醫(yī)院心血管外科，重慶 400037 【摘要】 目的探討完善淺低溫體外循環(huán)心臟跳動(dòng)中心內(nèi)直視手術(shù)技術(shù)，報(bào)告2100例臨床應(yīng)用經(jīng)驗(yàn)。 【關(guān)鍵詞】 不停跳；心內(nèi)直視手術(shù)；體外循環(huán)；低溫 OnPump BeatingHeart Intracardiac Procedures in 2100 Cases XIAO Yingbin,CHEN Lin,WANG Xuefeng,ZHONG Qianjin,CHEN Jinjin,CHENG Bocheng Department of Cardiovascular Surgery,Xinqiao Hospital,The Third Military Medical University，Chongqing 400037，China Abstract: OBJECTIVETo improve intracardiac operation technique on beatingheart with mild hypothermic extracorporeal circulation (Onpump beatingheart technique),and to review the clinic experience in 2100 cases. METHODS2100 cases received intracardiac operations onpump beatingheart technique. 1442 patients of them were with congenital heart diseases (CHD),and 658 with valvular heart diseases (VHD). The operative technique was improved with establishing simultaneous left atrium and ventricle suction and integrated sequential deairing procedure. RESULTSThe operative mortality was % (35/2100), while the mortality was % (27/1442) in patients with CHD,and % (8/658) in those with VHD. There was no patient plicated with systemic air embolism or permanent atrioventricular conduction block. CONCLUSIONOur results suggested that onpump beatingheart was a reliable technique for intracardiac proc
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