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[用于胸主动脉瘤手术的下半身体循环停止及上、下半身选择性灌注的低温体外循环]

[Hypothermic cardiopulmonary bypass with circulatory arrest of the lower half of the body and selective perfusion of the upper and lower half of the body for thoracic aortic aneurysm operation].

作者信息

Yagyu K, Ezure M, Takeshita M, Ono M, Tanaka O, Furuse A

机构信息

Department of Thoracic Surgery, University of Tokyo School of Medicine, Japan.

出版信息

Kyobu Geka. 1994 May;47(5):373-8.

PMID:8196241
Abstract

A 62-year-old man with thoracoabdominal aortic aneurysm of Crawford type IA and a 61-year-old woman with triple descending thoracic aortic aneurysms were operated on under total cardiopulmonary bypass with hypothermic circulatory arrest of the lower half of the body (rectal temperature of 17-19 C) and low flow selective perfusion of the upper and lower half of the body. Low porosity woven Dacron UBE grafts without preclotting were used for the replacement of the aorta. Postoperative courses were uneventful without paraplegia and angiographic examination revealed excellent hemodynamic results.

摘要

一名患有克劳福德IA型胸腹主动脉瘤的62岁男性和一名患有三处降主动脉瘤的61岁女性,在全身心肺转流、下半身低温循环停搏(直肠温度17 - 19摄氏度)以及上半身和下半身低流量选择性灌注的情况下接受了手术。未预凝的低孔隙率编织涤纶UBE移植物用于替换主动脉。术后过程顺利,无截瘫,血管造影检查显示血流动力学结果极佳。

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