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[在无肝素情况下使用生物泵进行胸主动脉创伤性破裂手术的旁路结果]

[The results of bypass with the BioPump in the surgery of traumatic rupture of the thoracic aorta without heparin].

作者信息

Kawada T, Mieda T, Abe H, Kamada S, Hinata S, Okada T, Yamate N

出版信息

Kyobu Geka. 1989 Feb;42(2):120-3.

PMID:2733286
Abstract

In surgery of the traumatic rupture of descending thoracic aorta, external shunt without systemic heparinization is commonly employed to avoid the bleeding of other injured organs as well as the ischemic injury of spinal cord. However, it provides no means of controlling the flow. We employed the BioPump without heparinization in 2 cases of traumatic rupture of descending thoracic aorta and additional 2 cases of aneurysm of thoracic aorta. Significant platelet loss occurred immediately after operation, however, there was no postoperative evidence of the organ failures due to microembolization. Heparinless bypass with the BioPump is considered to be safe and simple as an adjunct means in surgery of the traumatic rupture of thoracic aorta.

摘要

在胸降主动脉创伤性破裂手术中,通常采用无全身肝素化的体外分流术,以避免其他受损器官出血以及脊髓缺血损伤。然而,它无法控制血流。我们在2例胸降主动脉创伤性破裂和另外2例胸主动脉瘤病例中使用了未肝素化的BioPump。术后立即出现了明显的血小板损失,然而,没有术后因微栓塞导致器官功能衰竭的证据。在胸主动脉创伤性破裂手术中,使用BioPump进行无肝素旁路循环被认为是一种安全、简单的辅助手段。

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