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[心脏黏液瘤:95例体外循环灌注分析]

[Cardial myxoma: analysis of cardiopulmonary bypass perfusion in 95 cases].

作者信息

Xiong J, Xu G, Gong X

机构信息

Department of Anesthesia, First Hospital, Chinese Medical University, Shengyang.

出版信息

Zhonghua Wai Ke Za Zhi. 1995 Jun;33(6):331-2.

PMID:8582212
Abstract

From 1980 to 1993, 95 patients with cardial myxoma (male 32 and female 63) were treated surgically. The myxoma located on left-atrium in 88 patients, right-atrium in 5, left-ventricle in 1, and pulmonary in 1. All the operations were carried out under cardiopulmonary bypass. After operations, 12 patients had dyspnea and 8 died of pulmonary infection and heart or respiratory failure. The hemoglobin level was 118.02 +/- 16.7 g/L, 72.33 +/- 8.82 g/L, and 105.75 +/- 5.91 g/L respectively for pre-dilution, post-dilution, and post-operation. The patients with cardial myxoma often complicated with anemia (56), hepatic enlargement (36), and history of heart failure (64), and embolism (12). Combined with clinical characteristics mentioned above, the preparation of prime solution and the management of perfusion were discussed.

摘要

1980年至1993年期间,对95例心脏黏液瘤患者(男性32例,女性63例)进行了手术治疗。黏液瘤位于左心房88例,右心房5例,左心室1例,肺动脉1例。所有手术均在体外循环下进行。术后,12例患者出现呼吸困难,8例死于肺部感染、心脏或呼吸衰竭。预稀释、后稀释和术后血红蛋白水平分别为118.02±16.7 g/L、72.33±8.82 g/L和105.75±5.91 g/L。心脏黏液瘤患者常合并贫血(56例)、肝脏肿大(36例)、心力衰竭病史(64例)和栓塞(12例)。结合上述临床特点,探讨了预充液的配制及灌注管理。

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