应用体外循环技术成功救治严重呼吸道梗阻3例体会

Clinical analysis for 3 cases of relieve severe tracheal obstruction under cardiopulmonary bypass

目的总结采用股-股体外循环技术成功救治严重呼吸道梗阻患者的体会。方法回顾性地分析了3例经体外循环辅助下解除呼吸道梗阻手术的临床资料。3例患者均通过右侧股动静脉建立体外循环,其中1例为袖式气管切除,1例为气管内异物取出,另1例为压迫气管肿瘤切除。结果 3例患者呼吸困难症状明显缓解,体外循环时间27～147 min,无围手术期死亡病例。结论通过体外循环解除严重呼吸道梗阻是可行的。围手术期保持呼吸道畅通有利于患者术后恢复。

Objective To analyze experiences of establishing the extracorporeal circulation（ECC） by femoral vein-femoral artery for patients with tracheal obstruction.Methods The data of 3 patients with tracheal obstruction who underwent surgery of cardiopulmonary bypass were reviewed.ECC was established in 3 patients through right femoral vessels.Sleeve tracheal resections was performed in one patients,foreign bodies was taken out of tracheal in one patient,and tumor oppressing tracheal was resected in one patient.Results All patients＇ dyspnea was relieved remarkable.ECC times were from 27 to 147 min.There was no perioperative mortality reported.Conclusion Relieve severe tracheal obstruction under ECC is practicable.Keeping respiratory airway expedite perioperatively is very important and helpful to postoperative recovery.