摘要
目的 介绍经腋动脉右锁骨下动脉插管技术及其体外循环要点。 方法 经腋动脉右锁骨下动脉插管和在深低温停循环下行持续选择性脑灌注技术治疗累及主动脉弓的心血管疾病患者70 例。 结果 应用该技术手术治疗累及主动脉弓的心血管疾病70 例中,脑部低流量灌注时间最长达81 分钟,平均28 .06 ±21 .07 分钟,术后患者6 小时内全部清醒,无神经系统并发症。 结论 经腋动脉右锁骨下动脉插管在停循环期间持续选择性脑灌注方法对脑保护简便、安全、有效。
Objective To study the technique of right subclavian arterial cannulation and extracorporeal circulation. Methods To study the topographic anatomy of subclavian artery and axillary artery, to introduce the technique of right subclavian arterial cannulation, and summarize the experience of 70 patients with cardiovascular diseases underwent aortic arch surgery during deep hypothemic circulatory arrest and selected cerebral perfusion.Results The longest time of circulatory arrest and selected cerebral perfusion was 81 minutes, all of the patients was successfully treated without neurologic complication. Conclusion This technique of cerebral protection is handy, safe and effective during deep hypothemic circulatory arrest and selected cerebral perfusion.
出处
《中国胸心血管外科临床杂志》
CAS
1999年第4期228-230,共3页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
锁骨下动脉
插管
体外循环
深低温停循环
脑灌注
Right subclavian arterial cannulation Extracorporeal circulation Deep hypothemic circulatory arrest Selected cerebral perfusion Cardiovascular disease