Gadhinglajkar Shrinivas Vitthal, Sankarkumar R, Rupa Sreedhar
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Asian Cardiovasc Thorac Ann. 2004 Mar;12(1):81-2. doi: 10.1177/021849230401200120.
Air embolism occurred after termination of cardiopulmonary bypass in a 22-year-old man undergoing aortic valve replacement for rheumatic aortic insufficiency. Normothermic retrograde cerebral perfusion was instituted for 5 min at a flow rate of 300-500 mL.min(-1), maintaining internal jugular vein pressure < 25 mmHg. The aortic cannula was declamped intermittently for 5-10 seconds. Mean arterial pressure was kept at 60-70 mmHg. The patient recovered without any neurological deficit.
一名22岁男性因风湿性主动脉瓣关闭不全接受主动脉瓣置换术，在体外循环结束后发生空气栓塞。进行了5分钟的常温逆行脑灌注，流速为300 - 500 mL·min⁻¹，维持颈内静脉压力<25 mmHg。主动脉插管间歇性松开5 - 10秒。平均动脉压维持在60 - 70 mmHg。患者康复，无任何神经功能缺损。
