“分离性低温”逆行脑灌注用于主动脉弓修复术
["Separate hypothermia" retrograde cerebral perfusion for repair of aortic arch].
作者信息
Imamaki M, Nakajima M, Hirayama T, Hikawa H, Hagiwara S, Ideta I
机构信息
Division of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Japan.
出版信息
Kyobu Geka. 1993 Jul;46(8 Suppl):686-9.
We have developed a new technique of retrograde cerebral perfusion. To avoid the disadvantages by deep hypothermia, and to protect the brain for longer time, we perfused from SVC cannula with blood cooled at 10-15 degrees C, at the same time from femoral artery with blood cooled at 20-26 degrees C. From October 1991 to December 1992, 8 patients underwent surgical repair using this method. By this method, the cases of which cerebral perfusion time were 147, 134, 125, 119, 110 minutes, did not have neurological deficits.
我们研发了一种新的逆行脑灌注技术。为避免深度低温带来的弊端，并更长时间地保护大脑，我们通过上腔静脉插管灌注10 - 15摄氏度的冷血，同时经股动脉灌注20 - 26摄氏度的冷血。1991年10月至1992年12月，8例患者采用此方法接受了手术修复。通过这种方法，脑灌注时间分别为147、134、125、119、110分钟的病例均未出现神经功能缺损。
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