Mattox K L, Beall A C
Ann Thorac Surg. 1976 Nov;22(5):436-42. doi: 10.1016/s0003-4975(10)64452-9.
The advancements in extracorporeal cardiopulmonary support through oxygenation and pumping units have permitted the explosive development of heart surgery. A battery-powered portable cardiopulmonary bypass machine has been used in 39 patients whose conditions precluded transport to the operating room. Nineteen patients with massive pulmonary emboli, 10 with extensive cardiopulmonary trauma, who had sustained massive drug overdose, and 2 with cardiogenic shock from acute myocardial infarction were successfully placed on cardiopulmonary bypass at the bedside within 15 minutes of cardiac arrest using femoral artery and femoral vein cannulation. Six patients who had cardiac arrest and suspected massive pulmonary emboli were found to have no mechanical cause for their arrest. Thirteen of the patients with massive pulmonary emboli were saved. Eight of the 10 patients who required portable cardiopulmonary bypass for massive traumatic thoracic injuries had control of hemorrhage and repair, allowing bypass to be discontinued. Two of these 8 patients had sustained transection of the proximal left anterior descending coronary artery. Sixteen patients survived for more than 30 days, and there are 15 long-term survivors.
通过氧合和泵血装置实现的体外心肺支持技术的进步，推动了心脏外科手术的迅猛发展。一台电池供电的便携式体外循环机已应用于39例病情不允许转运至手术室的患者。19例大面积肺栓塞患者、10例广泛心肺创伤患者、因药物过量而病情严重的患者以及2例因急性心肌梗死导致心源性休克的患者，在心脏骤停后15分钟内，通过股动脉和股静脉插管，成功在床边建立体外循环。6例心脏骤停且疑似大面积肺栓塞的患者，未发现导致其心脏骤停的机械性原因。13例大面积肺栓塞患者获救。10例因严重创伤性胸部损伤需要便携式体外循环的患者中，8例实现了出血控制和修复，从而能够停止体外循环。这8例患者中有2例左前降支冠状动脉近端完全离断。16例患者存活超过30天，15例为长期存活者。
