全機器人心臟手術(shù)的體外循環(huán)建立與管理-閱讀頁
2025-01-30 01:03本頁面
【正文】 延長主要受手術(shù)方式以及配合熟練程度等因素的影響，傳統(tǒng)手術(shù)ECC是在插管、套阻斷帶之后才開始轉(zhuǎn)流，而機器人心臟手術(shù)是在ECC下切開心包并套阻斷帶。Morgan等［13］研究表明，使用機器人進(jìn)行房缺修補術(shù)除有美容效果外，患者在自覺疼痛，生活能力，精神狀況，一般健康情況等方面均好于微創(chuàng)胸廓切開術(shù)和胸骨切開術(shù)兩組患者，明顯改善患者的生活質(zhì)量。 心臟復(fù)蘇后，術(shù)者在拔除升主動脈停跳液灌注針時，需要瞬間的低血壓。 全機器人心臟手術(shù)ECC需要插小口徑靜脈引流管，術(shù)中應(yīng)用VAVD，連續(xù)血氣檢測，相對較長的ECC時間，應(yīng)加強ECC的管理。Attellis N, et al. Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments ［J］.J Thorac Cardiovasc Surg,1999,118(1):410. ［9］ Shin H, Yozu R, Maehara T,et al. Vacuum assisted cardiopulmonary bypass in minimally invasive cardiac surgery: its feasibility and effects on hemolysis ［J］. Artif Organs，2000，24(6):450453. ［10］ Willcox TW, Mitchell SJ, Gorman DF. Venous air in the bypass circuit: a source of arterial line meboli exacerbated by vacuum assisted drainage ［J］. Ann Thorac Surg，1999，68(4):12851289. ［11］ Jegger D,Tevaearai HT,Mueller XM,et al. Limitations using the vacuumassist venous drainage technique during cardiopulmonary bypass procedures ［J］.J Extra Corpor Technol， 2003，35(3):207211. ［12］ Bonaros N, Schachner T, Oehlinger A,et al. Robotically assisted totally endoscopic atrial septal defect repair: insights from operative times, learning curves,and clinical oute ［J］. Ann Thorac Surg，2006,82(2):687693. ［13］ Morgan JA, Peacock JC, Kohmoto T,et al. Robotic techniques improve quality of life in patients undergoing atrial septal defect repair ［J］. Ann Thorac Surg,2004,77(4):13281333.
公司管理相關(guān)推薦
鄂ICP備17016276號-1