股-股心肺转流用于巨大纵隔肿瘤手术的临床研究

Clinical study on femoro - femoral cardiopulmonary bypass - assisted huge mediastinal tumor resection

目的 探讨股-股心肺转流用于巨大纵隔肿瘤手术的可行性及疗效.方法 回顾性分析2001 年7月至 2009 年7月我科诊治的因巨大纵隔肿瘤行股-股心肺转流辅助下手术切除11例患者的临床资料.结果 11例患者心肺转流过程顺利,无明显并发症,5例术中出现急性呼吸循环功能衰竭开启体外循环后均得到及时救治,无一例术中死亡.结论 巨大纵隔肿瘤手术全麻诱导和手术操作过程中可能会发生呼吸心跳骤停,选择有高危险因素的患者应用股-股心肺转流辅助技术能显著地降低麻醉及术中死亡率,值得推广.

Objective To estimate the feasibility and effect of femoro - femoral cardiopul- monary bypass - assisted huge mediastinal tumor resection. Methods Clinical data of 11 huge mediasti- hal tumor patients who underwent femoro - femoral cardiopulmonary bypass - assisted huge mediastinal mass resection at our division were analyzed,retrospectively. Results Cardiopulmonary bypass was successfully performed in 11 patients under local anesthesia. No complications were observed. Cardiopulmonary bypass through the femoral vein and artery were well prepared before general anesthesia. Cardiopulmonary bypass was initiated in 5 patients who developed acute respiratory circulatory failure during anesthesia induction and surgical treatment. All the 5 patients were rescued and survived. Conclusion The anesthesia induction and surgical treatment of huge mediastinal tumor may predispose patients to acute respiratory circulatory failure. Use of femoro - femoral cardiopulmonary bypass on high - risk patients could reduce the mortality caused by anesthesia induction and surgical treatment.