Miyaki Yasuko, Takagi Nobuyuki, Hasegawa Takeo, Yasuda Naomi, Nakajima Tomohiro, Tachibana Kazutoshi, Higami Tetsuya
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kyobu Geka. 2013 Mar;66(3):187-9.
A 76-year-old female was hospitalized because of congestive heart failure and anemia. A thorough examination led to a diagnosis of severe aortic stenosis and cold agglutinin disease. The critical temperature for hemagglutination was 27 °C, which caused particular problems with regard to the myocardial protection temperature during surgery. Aortic valve replacement was performed safely by increasing the normal myocardial protection temperature from 15 °C to 32 °C and using 3 times the normal volume of cardioplagic fluid. As a result of strict perioperative thermal management, the operation was completed without any complications.
一名76岁女性因充血性心力衰竭和贫血入院。经过全面检查，诊断为严重主动脉瓣狭窄和冷凝集素病。血凝的临界温度为27℃，这给手术期间的心肌保护温度带来了特殊问题。通过将正常心肌保护温度从15℃提高到32℃，并使用3倍正常体积的心脏停搏液，安全地进行了主动脉瓣置换术。由于严格的围手术期体温管理，手术顺利完成，无任何并发症。
