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[膜式氧合器在长时间体外循环中的临床应用]

[Clinical use of membrane oxygenators for extended extracroporal circulation].

作者信息

Hoffmeister H E, Schorer R, Stunkat R

出版信息

Thoraxchir Vask Chir. 1975 Feb;23(1):49-57. doi: 10.1055/s-0028-1096925.

Abstract

Extended perfusion with extracorporal circulation membrane oxygenators of the Lande-Edwards type was performed in 43 patients. Two groups of patients were studied in detail: 1. Patients undergoing aortic valve replacement primarily because of calcified aortic defects (n equals 20; average perfusion time 96 min.1 2. Young children in whom the operation of Mustard was mainly performed (n equals 10; average perfusion time 92 min.) There were no deaths or complications due to the use of the membrane oxygenator. Particular emphasis is laid on the careful preparation of the apparatus. Although venous drainage is only by gravity, high flow perfusion was possible in all age groups. Haemodynamics and metabolism were good even after 1 1/2 hours perfusion. Haemodialysis was slight.

摘要

对43例患者使用Lande-Edwards型体外循环膜式氧合器进行了延长灌注。详细研究了两组患者:1. 主要因钙化性主动脉病变而接受主动脉瓣置换术的患者(n = 20;平均灌注时间96分钟);2. 主要接受Mustard手术的幼儿(n = 10;平均灌注时间92分钟)。使用膜式氧合器未出现死亡或并发症。特别强调了设备的精心准备。尽管静脉引流仅靠重力,但所有年龄组均可行高流量灌注。即使灌注1个半小时后,血流动力学和代谢情况仍良好。血液透析轻微。

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