摘要
本文报告６０３７例体外循环中发生脑部并发症５６例，其中脑缺氧３５例，脑气栓１０例，脑血栓７例，脑出血２例，脑水肿２例。本文详细论述脑并发症产生的原因，并认为体外循环中提高灌注流量和灌注压是降低脑缺氧的重要方法。此外，还强调术中应用多种微栓过滤器是提高体外循环质量、降低脑并发症的重要措施。
Fifty six cases of cerebral complications following 6037 cases of open heart surgery from 1958 to 1990 in Shanghai Chest Hospital were reported. The cases were divided into 2 groups chronologically.In the first group,34 cases of cerebral complications occurred among 1510 cases of open heart surgery from 1958 to 1980 with an incidence of 2.25%; while in the second group,due to the improvement of facilities and progress in perfusion technic, only 22 cases of cerebral complications occurred among 4 527 cases from 1981 to 1990 with an incidence of 0.48% (p<0.01,vs.thefirst group).The authors emphasized that in order to lower the incidence of cerebral complications, the following measures are important: To use high flow rate perfusion;to elevate the mean perfusion pressure during bypass;to use high quality pump-oxygenators;and to use various microemboli filters.
出处
《中国循环杂志》
CSCD
1994年第10期614-616,共3页
Chinese Circulation Journal
关键词
体外循环
并发症
脑病
病例报告
Extracorporeal circulation
Cerebral complications
