【摘要】 目的探讨全身常温、心脏局部低温体外循环(CPB)在先天性心脏病外科治疗中的应用价值。方法将30例先天性心脏病手术患者随机分为常温组(15例)和低温组(15例),对比研究两组CPB时间、主动脉阻断时间、手术时间、术后体温、胸腔引流量、血细胞水平等检测指标间的差别。结果常温组CPB时间较低温组短(37.5±11.6m in vs.51.6±12.0m in,P<0.05),手术时间也较低温组明显缩短(2.2±0.6h vs.2.7±0.5h,P<0.01),两组患者术后总引流量,术后前3h胸腔引流量和血细胞水平比较差别无统计学意义。结论全身常温、心脏局部低温体外循环明显缩短了手术的时间,具有临床应用价值。更多还原

【Abstract】 Objective To investigate the value of systemic-normothermic/cardiac-hypothermic cardiopulmonary bypass(CPB)on operation of congenital heart disease.Methods Thirty patients of congenital heart disease were randomly divided into two groups,the normothermia group(n=15)and hypothermia group(n=15).The changes of CPB time,aortic cross-clamp time,operation time and postoperative drainage and the value of blood cell were observed.Results The duration of CPB(37.5±11.6min vs.51.6±12.0 min,P<0.05) and operation time((2.2±)0.6h vs.2.7±0.5h,P<0.01) in normothermia group were shorter than those of hypothermia group statistically,the differences of postoperative drainage and the value of blood cells between two groups were not statistically significant.Conclusion The use of systemic-normothermic/cardiac-hypothermic CPB on operation of congenital heart disease shows that the time of operation is shorter remarkly,and it could be clinically used safely.更多还原