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心脏压塞时紧急体外循环的胸外插管。颈内静脉的应用。

Extrathoracic cannulation for urgent cardiopulmonary bypass in cardiac tamponade. Use of the internal jugular vein.

作者信息

Westaby S

机构信息

Department of Cardiothoracic Surgery, John Radcliffe Hospital Headington, Oxford, U.K.

出版信息

J Cardiovasc Surg (Torino). 1988 Jan-Feb;29(1):103-5.

PMID:3339069
Abstract

Two patients with intra-thoracic cardiovascular catastrophies and cardiac tamponade precluding safe thoracotomy were approached using cannulation of the left internal jugular and femoral veins. Cardiopulmonary bypass could then be established with effective venous drainage before direct approach to the heart and great vessels was attempted. This method produced a satisfactory outcome in both patients.

摘要

两名患有胸内心血管灾难且因心脏压塞而无法进行安全开胸手术的患者，通过左颈内静脉和股静脉插管进行处理。然后在尝试直接处理心脏和大血管之前，通过有效的静脉引流建立体外循环。该方法在两名患者中均取得了满意的结果。

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