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体外循环术后血管麻痹综合征的临床观察(附8例报告及文献复习) 被引量:6

Clinical results of vasoplegic syndrome in patients undergoing cardiac surgery with cardiopulmonary bypass ( report on 8 cases and review of the literatures)
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摘要 目的 探讨体外循环术后血管麻痹综合征的临床特点及治疗措施。方法 分析 2 0 0 0年 3月~ 2 0 0 4年 2月间 8例体外循环术后血管麻痹综合征病人的临床资料 ,并对该症进行文献复习和讨论。结果 本组 3例病人死于术后 33~ 5 2h ,其余 5例病人在 7~ 5 5个月的随访期中心功能Ⅰ~Ⅱ级 ,生活质量良好。结论 血管麻痹综合征是体外循环术后一种严重的并发症 ,及时诊断和正确处理是决定预后的关键。 Objective To discuss the clinical features of vasoplegic syndrome(VS) after cardiopulmonary bypass(CPB) and summarize the experience of postoperative therapy.Methods A retrospective analysis was compiled of 8 patients undergoing CPB heart surgery who developed VS between March 2000 and February 2004 and the literatures were reviewed.Results Three patients died in 33-52 h after termination of CPB. The other 5 patients were doing well at a follow-up of 7-55 months and their cardiac function were NYHA class Ⅰ-Ⅱ.Conclusion Vasoplegic syndrome is a severe complication after CPB heart surgery. Early diagnosis and proper treatment is the key for getting a good outcome.
出处 《重庆医学》 CAS CSCD 2004年第12期1767-1769,共3页 Chongqing medicine
关键词 体外循环 血管麻痹综合征 临床观察 cardiopulmonary bypass vasoplegic syndrome clinical results
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参考文献14

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