摘要
目的 总结非体外循环下肝素化布 加综合征根治术临床治疗经验。方法 1997年 11月至 2 0 0 2年 4月采用非体外循环、肝素化对 36例布 加综合征病人施行了根治术。在肝素化前提下 ,完成了下腔静脉远端球囊阻断、可控制性放血、负压吸引血液回收、经右心房插管血液回输等手术关键环节。结果 术中全组无 1例输异体血 ,无重大手术并发症 ,无手术死亡 ,下腔静脉压下降显著。结论 该术式简化了体外循环和深低温停循环下布 加综合征根治术的手术程序 ,保证了手术效果。
Objective: To summarize the experience of treatment on open angioplasty of Budd-Chiari syndrome(BCS) in off-pump cardiopulmonary bypass (N-CPB) and heparinization. Methods: 36 patients with BCS received open angioplasty under N-CPB and heparinization from November, 1997 to April, 2002. The operation includes following key points: heparinization of blood in patient's body, blocking the side to proximal heart and the another side of the obstruction in inferior vena cava (IVC) by a belt and a Foley's catheter, blooding controlled, blood retrieved by negative pressure, and the blood transfused through the cannulas in right atrium. Results: No patients transfused stocking blood in operating period. All of them were cured. The IVC pressure dropped obviously. There weren't existing serious postoperative complications. Conclusions: Comparing with the way in CPB and deep hypothermic circulatory arrest, this way may simplify processes on open angioplasty of BCS, reduce operating injury and ensure effect of the operation.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2002年第6期345-347,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
四川省科技厅组织的科技成果鉴定 [川科鉴字(2 0 0 2 )第 14 2号 ]
