体外循环采用高岭土激活全血凝固时间监测43例临床报告

目的:心脏手术体外循环,采用高岭土作为试剂激活全血凝固时间监测,以下简称ACT监测,极大的提高了体外循环转流的安全性。方法:本组对43例病人使用高岭土做为试剂,对体外循环转流前ACT基础值(即生理值),体外循环转流中和体外循环转流后病员ACT值进行监测。结果:对心脏手术体外循环前和转流中肝素用量,以及停机后中和肝素的鱼精蛋白用量提供了可靠的参考依据,保证与减少了体外循环手术中的凝血及手术后创面的出血与渗血。结论:心脏手术体外循环中用高岭土进行ACT监测,此方法经济、简单、便于操作、确保了心脏手术体外循环的安全进行。

Objective Cardiopulmonary bypass heart surgery,used as a reagent kaolin activated whole blood clotting time monitoring,hereinafter referred to ACT monitoring,greatly increased the pump bypass security.Methods The group of 43 patients with use of regents as kaolin,Master pump bypass patients ACT basis of the former(physiological value),cardiopulmonary bypass pump to flow in and flow to the ACT sick after the value of monitoring indicators.Results Before and during cardiopulmonary bypass heart surgery in the ...