贵州医科大学学报

1985, (01) 45-47

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低温体外循环心脏直视手术后并发症的分析
COMPLICATIONS EARLY AFTER INTRACARDIAC SURGERY WITH EXTRACORPORAL CIRCULATORY SUPPORT

祝庆平;罗先达;赵崇藩;瞿溥年;
Zhu Qingping, (Department of Cardio-thoracic Surgery)

摘要(Abstract):

<正> 低温体外循环下心脏直视手术后并发症,如发现不及时,处理不当,常导致严重后果,甚至死亡。为了提高对术后并发症的认识,将我院1978.10~1984.6进行低温体外循环心脏直视手术100例中手术后并发症进行小结。 100例中术后并发症计有:术后出血2例;低心排综合征5例;脑水肿4例;心律紊乱19例。死亡4例,系低心排综合征2例;脑水肿2例。一、出血2例1例系肺动脉瓣狭窄术后2小时,纵隔引流管流出大量血液400ml/hr观察2小时,在输血的同时CVP↓及BP↓,立即打开切口检查,见胸腺后出血,予以缝扎止血,恢复顺利;另1例系F_3有严重紫绀杆状指者,术后6小时心包引流量增加,80滴/分,含血色素10g,CVP↓,BP↓,输血,给止血剂、钙
Postoperative complications occurred in 30 of 100 cases of heart diseases treated with intracardiac surgery with extracorporal circulatory support. Among them, arrhyhmia was the most frequent, encounterred in 19 cases. It was main- ly due to hypokalemia and was cured by the replacement of potassium. ECG could not serve as a monitoring index of hypokalemia within 24 hours imme- diatately after the operation. Low output syndrome occurred in 5 cases and bleeding in 2 cases. Brain edema occurred in 4 cases and was the most serious problem, causing death in 2 eases, while micro-air-embolism in the cerebral vessels was assumed to be its cause.

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作者(Author): 祝庆平;罗先达;赵崇藩;瞿溥年;
Zhu Qingping, (Department of Cardio-thoracic Surgery)

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DOI: 10.19367/j.cnki.1000-2707.1985.01.014

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