婴幼儿主动脉弓部手术中心脑灌注策略的研究进展

Cerebral and myocardial perfusion strategies in neonatal aortic arch repair

婴幼儿主动脉弓部手术中,心、脑保护是手术中备受关注的研究重点,从深低温停循环技术的使用到近些年逐渐被很多心脏中心采用的心脑联合灌注策略,不同的灌注方式有各自的优缺点,目前对于最佳的策略尚未达成共识,本文旨在对目前临床使用的三种灌注方式进行逐一介绍,总结各种灌注方式的发展及研究进展。

Myocardial and cerebral protection are always the major concerns in neonatal aortic arch surgery.From the application of deep hypothermic circulatory arrest technology to continuous cardio-cerebral perfusion strategy adopted in many cardiac centers recently, each perfusion method has its own pros and cons, so there is no consensus on which one is the most suitable. This review aims to summarize the development and research progress of various perfusion methods, so that to provide a foundation for further development.