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心脏直视手术中的脑保护。盘式氧合器与两种鼓泡式氧合器的比较。

Cerebral protection during open heart surgery. A comparison between a disk oxygenator and two bubble oxygenators.

作者信息

Aberg T, Kihlgren M

出版信息

Thoraxchir Vask Chir. 1977 Jun;25(3):146-51. doi: 10.1055/s-0028-1096704.

DOI:10.1055/s-0028-1096704
PMID:898163
Abstract

A disk oxygenator (Björk-AGA HLM) with a moderate hemodilution prime and two bubble oygenators (Harvey H 800 and Galen Optiflo 42-201) with a clear fluid prime are compared in regard to their effect upon postoperative intellectual function as measured by psychometric tests. There was no difference between the two bubble oxygenators. There was a marked, statistically significant difference between the bubble oxygenators and the disk oxygenator, the disk oxygenator yields considerably worse results. The reason for this is obscure but probably lies in the different microembolic output. The literature, however is not consistent on this question. At the present time, only bubble oxygenators are used in our unit.

摘要

将采用中度血液稀释预充液的膜式氧合器(Björk-AGA HLM)与采用清亮液体预充液的两种鼓泡式氧合器(Harvey H 800和Galen Optiflo 42 - 201)进行比较,观察其对术后智力功能的影响,通过心理测试进行测量。两种鼓泡式氧合器之间没有差异。鼓泡式氧合器与膜式氧合器之间存在显著的统计学差异,膜式氧合器产生的结果要差得多。其原因尚不清楚,但可能在于不同的微栓子输出量。然而,关于这个问题文献并不一致。目前,我们科室仅使用鼓泡式氧合器。

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1
Cerebral protection during open heart surgery. A comparison between a disk oxygenator and two bubble oxygenators.心脏直视手术中的脑保护。盘式氧合器与两种鼓泡式氧合器的比较。
Thoraxchir Vask Chir. 1977 Jun;25(3):146-51. doi: 10.1055/s-0028-1096704.
2
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