布—加综合征非体外循环下根治术6例报告

Radical Operation of Budd-Chiari Syndrome Without Cardiopulmonary Baypass:A Report of 6 Cases

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:2000年4月至2006年10月采用非体外循环,肝素化对6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:无重大手术并发症,无手术死亡。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 clinical experience of radical operation of Budd-Chiari syndrome under heparinization and without cardiopuhnonary bypass. Methods ： From April 2000 to October 2006, 6 patients with Budd-Chiari syndrome underwent radical operation under heparinization but without cardiopulmonary bypass. Under heparinization, the procedure was performed including some key points： obstruction in the distal part of the inferior vena cava by balloon, controllable bood stream, blood retrieve by negative pressure of cell saver, and blood refusion by the cannulation in the right atrium. Results： There were no serious postoperative complications or dcathes. Conclusions ： This procedure simplifies the processes of previous radical opertion of Budd-Chiari syndrome under deep hypothermit circulartory arrest （ DHCA ） , and it enssured operative efficacy.