Mizuhara A, Ino T, Adachi H, Ide H, Yamaguchi A, Kawahito K
Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Aug;42(8):1254-8.
A 55-year-old man who had severe aortic regurgitation by bacterial endocarditis associated with severe alcoholic liver cirrhosis admitted in our hospital for the treatment of congestive heart failure. ICG15' score was 45.0% and redox tolerance test score was 0.38 x 10(-2). Preoperative hepatic function state was estimated as Child B. Preoperative preparation for the liver cirrhosis was done with FFP and glucagon insulin treatment. Aortic valve replacement was performed under the pulsatile high flow and high perfusion pressure during cardiopulmonary bypass. Post operative course was fair and he discharged.
一名55岁男性，因细菌性心内膜炎导致严重主动脉瓣反流，并伴有严重酒精性肝硬化，因充血性心力衰竭入住我院治疗。吲哚氰绿15分钟滞留率为45.0%，氧化还原耐受试验评分为0.38×10⁻²。术前肝功能状态评估为Child B级。采用新鲜冰冻血浆和胰高血糖素胰岛素治疗进行肝硬化的术前准备。在体外循环期间，在搏动性高流量和高灌注压力下进行主动脉瓣置换术。术后病程顺利，患者出院。
