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肾移植受者采用轻度低温联合选择性脑灌注进行急诊全主动脉弓置换术。

Emergency total aortic arch replacement for a renal transplant recipient by mild hypothermia with selective cerebral perfusion.

作者信息

Toyama Masashi, Kida Naoki, Tamenishi Akinori, Okamoto Hiroshi

机构信息

Department of Cardiovascular Surgery, Yokkaichi Municipal Hospital, Yokkaichi, 510-0822, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2009 Apr;57(4):211-3. doi: 10.1007/s11748-008-0370-4. Epub 2009 Apr 15.

DOI:10.1007/s11748-008-0370-4
PMID:19367455
Abstract

Hypothermia and immunosuppressive drugs may promote surgical wound infection. We successfully performed an emergency total arch replacement with mild hypothermia and selective cerebral perfusion for a renal transplant recipient. The postoperative course was almost uneventful without any surgical site infection.

摘要

体温过低和免疫抑制药物可能会促进手术伤口感染。我们成功地为一名肾移植受者在轻度低温和选择性脑灌注下进行了急诊全弓置换术。术后过程几乎平稳，没有任何手术部位感染。

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本文引用的文献

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Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: a risk factor analysis for adverse outcome in 501 patients.升主动脉和主动脉弓手术中采用选择性顺行脑灌注的低温循环停搏：501例患者不良结局的危险因素分析
J Thorac Cardiovasc Surg. 2008 Apr;135(4):908-14. doi: 10.1016/j.jtcvs.2007.07.067.
2
Perioperative outcomes of cardiac surgery in kidney and kidney-pancreas transplant recipients.肾移植和肾胰联合移植受者心脏手术的围手术期结局
J Thorac Cardiovasc Surg. 2007 May;133(5):1212-9. doi: 10.1016/j.jtcvs.2006.11.041. Epub 2007 Mar 28.
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The Society of Thoracic Surgeons practice guideline series: Antibiotic prophylaxis in cardiac surgery, part II: Antibiotic choice.
胸外科医师学会实践指南系列：心脏手术中的抗生素预防，第二部分：抗生素选择。
Ann Thorac Surg. 2007 Apr;83(4):1569-76. doi: 10.1016/j.athoracsur.2006.09.046.
4
The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis.中度低温下半身循环停止并选择性脑灌注的安全性：一项倾向评分分析。
J Thorac Cardiovasc Surg. 2007 Feb;133(2):501-9. doi: 10.1016/j.jtcvs.2006.09.045.
5
Poststernotomy mediastinitis: a review of conventional surgical treatments, vacuum-assisted closure therapy and presentation of the Lund University Hospital mediastinitis algorithm.胸骨切开术后纵隔炎：传统外科治疗、负压封闭引流疗法综述及隆德大学医院纵隔炎治疗方案介绍
Eur J Cardiothorac Surg. 2006 Dec;30(6):898-905. doi: 10.1016/j.ejcts.2006.09.020. Epub 2006 Oct 23.
6
The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: Duration.胸外科医师协会实践指南系列：心脏手术中的抗生素预防，第一部分：持续时间。
Ann Thorac Surg. 2006 Jan;81(1):397-404. doi: 10.1016/j.athoracsur.2005.06.034.
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Aortic reconstruction in kidney transplant recipients.肾移植受者的主动脉重建术。
Ann Vasc Surg. 1996 Mar;10(2):97-108. doi: 10.1007/BF02000752.
8
Postoperative mediastinitis: classification and management.术后纵隔炎：分类与管理
Ann Thorac Surg. 1996 Mar;61(3):1030-6. doi: 10.1016/0003-4975(95)01035-1.
9
Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group.围手术期体温正常化以降低手术伤口感染发生率并缩短住院时间。伤口感染与体温组研究。
N Engl J Med. 1996 May 9;334(19):1209-15. doi: 10.1056/NEJM199605093341901.