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体外心肺循环治疗暴发型心肌炎1例
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作者 韩莹 袁勇 +1 位作者 董剑廷 黄炫生 《广东医学》 CAS CSCD 2003年第9期988-988,共1页
关键词 体外心肺循环 治疗 暴发型心肌炎 心电图 心功能衰竭
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体外心肺循环治疗暴发型心肌炎一例
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作者 袁勇 董剑廷 +5 位作者 李斌飞 张志刚 黄炫生 张励庭 韩莹 邓志华 《中国介入心脏病学杂志》 2005年第5期340-340,共1页
关键词 体外心肺循环 药物治疗 暴发型心肌炎 暴发性心肌炎 抢救成功 死亡率
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人血白蛋白在心外科围手术期的临床应用 被引量:3
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作者 张海波 《临床药物治疗杂志》 2019年第10期28-32,共5页
围手术期液体管理是心外科患者临床治疗的重要环节。合理、有效的液体管理应以维持血流动力学稳定、改善组织灌注、保护重要脏器为主要目的,同时兼顾液体平衡、凝血功能等问题,从而达到提高手术成功率、实现长期生存获益的治疗目标。心... 围手术期液体管理是心外科患者临床治疗的重要环节。合理、有效的液体管理应以维持血流动力学稳定、改善组织灌注、保护重要脏器为主要目的,同时兼顾液体平衡、凝血功能等问题,从而达到提高手术成功率、实现长期生存获益的治疗目标。心外科患者临床特征复杂,往往合并心力衰竭及心功能异常,加之体外心肺循环等医疗操作带来的一系列问题,使得围手术期液体管理具有不同于其他手术类型患者的复杂性与特殊性。人血白蛋白以其独特的临床优势,在心外科的液体治疗中起到举足轻重的作用。本文将对人血白蛋白在心外科围手术期综合管理中的合理应用进行阐述,并基于循证对其临床优势进行综述。 展开更多
关键词 白蛋白 体外心肺循环 容量替代 治疗
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A good resuscitation model of non-transthoracic cardiopulmonary bypass in rats 被引量:1
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作者 安永 肖颖彬 钟前进 《Chinese Journal of Traumatology》 CAS 2007年第4期218-222,共5页
Objective: To establish a good recoverable rat model of cardiopulmonary bypass (CPB) to lay the foundation for studying the pathophysiology of CPB. Methods: Twenty adult male Sprague-Dawley rats weighing 480 g &#... Objective: To establish a good recoverable rat model of cardiopulmonary bypass (CPB) to lay the foundation for studying the pathophysiology of CPB. Methods: Twenty adult male Sprague-Dawley rats weighing 480 g ±20 g were randomly divided into CPB group (n = 10 ) and Sham group ( n = 10 ). All rats were anaesthetized, intubated and ventilated. The carotid artery and jugular vein were cannulated. The blood was drained from the right atrium via the right jugular vein and further transferred by a miniaturized roller pump to a hollow fiber oxgenator and back to the rat via the left carotid artery. Priming consisted of 8 ml of homologous blood and 6 ml of colloid. The surface of the hollow fiber oxgenator was 0.075 m^2. Rats were catheterized and brought in bypass for 120 rain at a flow rate of 100-120 ml/kg/min. Oxygen flow/ perfnsion flow was 0.8 to 1.0, the mean arterial pressure (MAP) kept in 60-80 mmHg. Blood gas analysis, lactate dehydrogenase (LDH), and survival rate were examined subsequently. Results: AH CPB rats recovered from the operative process without incident and remained uneventful within one week. Normal cardiac function after successful weaning was confirmed by electrocardiography and blood pressure measurements. MAP remained stable. The results of blood gas analysis at different time points were within a normal range. No significant haemolysis could be detected in the given time frame under bypass condition by using LDH. Conclusions: The rat model of CPB can principally simulate the clinical setting of human CPB. The nontrausthoracic model is easy to establish and is associated with excellent recovery. This well reproducible model may open the field for various studies on pathophysiological process of CPB and also of systemic ischemia-reperfusion injury in vivo. 展开更多
关键词 Cardiopulmonary bypass Extracorporeal circulation RATS Disease models animal
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