摘要
目的 探讨心内直视手术中,控制心脏出血的有效方法。方法 在浅低温、心脏不停跳并行循环下切开肺动脉及右心房,将 Foley 氏尿管分别插入动脉导管、室间隔缺损处或冠状窦,然后向尿管球囊内注入生理盐水,轻轻提拉尿管,控制出血后行动脉导管闭合术、室间隔缺损修补术,阻断左上腔静脉回流,心内型完全性肺静脉异位引流矫治等手术。结果 全组38 例应用 Foley 氏尿管控制出血后,手术中术野清晰、显露良好,易于操作,缝合可靠,平均住院16 .8 d ,全部病人康复出院,无并发症发生。结论 应用 Foley 氏尿管临时阻断血流控制心脏出血,有利于手术野的显露和手术操作,是避免心脏修补或矫治术中组织撕裂、神经损伤和术后残余分流的有效措施。
Objective To explore the effectiveness in controlling the cardiac bleeding in open heart surgery.Methods Foley's urinary catheter was inserted into the arterial duct,and the part of ventricular septal defect or coronary sinus,and then physiological saline was infused into the air-pocket of Foley's catherter and the catheter was pulled slightly in order to control the bleeding.Soon afterwards occlusion of arterial duct,repair of ventricular septal defect,blockage of reflux of left superior vena cava and intracordial total ectopic pulmonary venous drainage correction were performed.Results After Foley's urinary catherter was used to control the bleeding in a group of 38 cases,the field of operation was clear,the exposure better,the manipulation easy and the suture also reliable in operation.All of the patients were fully recovered and discharged from the hospital with the average time of hospitalization being 16.8 days and without any complications.Conclusion The application of Foley's urinary catheter to temporarily block the blood flow and control the cardiac bleeding can help to improve the exposure of the field of operation and the operative manipulation and so is considered as an effective measure to avoid tissue laceration,nervous injury and postoperative remnant shunt in the course of repairing.
出处
《临沂医学专科学校学报》
1999年第3期165-167,共3页
Journal of Linyi Medical College
关键词
FOLEY氏尿管
心内直视手术
出血控制
体外循环
Foley's urinary catheter
Controlling of bleeding,Heart
Patent arterial duct
Ventricular septal defect
Extracorporeal circulation