儿童主动脉缩窄手术中的左心转流

Left heart bypass in the surgery of aortic coarctation in children.

作者信息

Buckels N J, Willetts R G, Roberts K D

机构信息

Birmingham Children's Hospital.

出版信息

Thorax. 1988 Dec;43(12):1003-6. doi: 10.1136/thx.43.12.1003.

DOI:10.1136/thx.43.12.1003

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC461615/

Abstract

Of 47 children over the age of 1 year who underwent repair of aortic coarctation during 1978-85, 22 had the operation performed with left heart bypass because the distal aortic pressure was below 50 mm Hg after the initial application of the arterial clamps. One further child had an elective left heart bypass. Satisfactory distal perfusion was achieved in all 23 patients. There were no deaths related to the use of left heart bypass but three complications occurred. One child had a mild transient hemiparesis on the ninth postoperative day and two had a pericardial effusion.

摘要

在1978年至1985年期间接受主动脉缩窄修复手术的47名1岁以上儿童中，22名因在最初应用动脉夹后远端主动脉压力低于50毫米汞柱而在左心转流下进行手术。另有一名儿童接受了择期左心转流。23例患者均实现了满意的远端灌注。没有与使用左心转流相关的死亡，但发生了3例并发症。一名儿童在术后第9天出现轻度短暂性偏瘫，两名儿童出现心包积液。

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本文引用的文献

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Traumatic thoracic aneurysms: treatment by resection and grafting with the use of an extracorporeal bypass.创伤性胸主动脉瘤：采用体外循环进行切除和移植治疗。

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Correction of coarctation of the aorta. Manometric determination of safety during test occlusion.主动脉缩窄的矫正。测试性阻断期间安全性的压力测定。

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Spinal cord complications following surgery for coarctation of the aorta. A study of 66 cases.主动脉缩窄手术后的脊髓并发症。66例病例研究。

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Ischaemic spinal cord injury after cardiac surgery.心脏手术后的缺血性脊髓损伤

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Is paraplegia after repair of coarctation of the aorta due principally to distal hypotension during aortic cross-clamping?主动脉缩窄修复术后的截瘫主要是由于主动脉交叉钳夹期间远端低血压所致吗？

Surgery. 1985 Jan;97(1):2-7.

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