Ailawadi Gorav, Zacour Richard K
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, PO Box 800679, Charlottesville, VA 22908-0679, USA.
Surg Clin North Am. 2009 Aug;89(4):781-96, vii-viii. doi: 10.1016/j.suc.2009.05.006.
Cardiopulmonary bypass has revolutionized the ability to provide cardiorespiratory support and has advanced the field of cardiac surgery. This invention has given surgeons the ability to perform many procedures that were not possible previously. The concept and development of cardiopulmonary bypass has been pioneered by numerous legendary surgeons. Cardiopulmonary bypass, extracorporeal membrane oxygenation, and left heart bypass have revolutionized our ability to operate on the heart, great vessels, and aorta in addition to providing means of short-term support for reversible causes of cardiac and/or respiratory failure. The success of these approaches is dependent upon excellent communication between the surgeon, perfusionist, and anesthesiologist as well as constant vigilance and troubleshooting by the caregivers.
体外循环彻底改变了提供心肺支持的能力，并推动了心脏外科领域的发展。这项发明使外科医生能够实施许多以前无法进行的手术。体外循环的概念和发展是由众多传奇外科医生开创的。体外循环、体外膜肺氧合和左心转流除了为心脏和/或呼吸衰竭的可逆病因提供短期支持手段外，还彻底改变了我们对心脏、大血管和主动脉进行手术的能力。这些方法的成功取决于外科医生、灌注师和麻醉医生之间的良好沟通，以及护理人员的持续警惕和故障排除能力。
