摘要
目的回顾性总结分析先天性心脏病二期全腔静脉-肺动脉连接术(TCPC)的体外循环(ECC)管理特点。方法 56例先天性心脏病患儿,在ECC下行二期TCPC术,其中3例采用股、动静脉插管转流。结果术中主要并发症包括开胸时大出血3例、术中血红蛋白尿25例;术后早期死亡3例,其中低心排2例、多器官功能衰竭1例。结论股动静脉插管准备、转流技术和血液保护技术,是二期TCPC的ECC管理的关键。
Objective To summarize and analyse the experiences of extracorporeal circulation （ECC） in the stage - two Total Cavopulmonary Connection （TCPC） operation. Methods We reviewed fifty - six cases underwent stage - two TCPC with ECC, including three cases used femoral arterial and venous cannulae. Results Major complication during operation included hemorrhage at thoracotomy in three cases and hemoglobinuria during operation in twenty five patients. Three patients died at early time postoperation. Se- vere postoperative complications included low cardiac output syndrome in two cases and multiple organ failurein in one case. Conclusion The preparation and setting up of ECC via femoral arterial and venous, and the ways of blood protection are the keys of the success of stage - two TCPC.
出处
《中国体外循环杂志》
2011年第4期219-221,共3页
Chinese Journal of Extracorporeal Circulation
基金
"十一五"国家科持支撑计划(2006BAI01A08)
关键词
先天性心脏病
二期
全腔静脉-肺动脉连接术
体外循环
Congenital heart disease
Stage -two
Total cavopulmonary connection
Extracorporeal circulation
