Objectives To evaluate retrospectively the potential benefits of combined utilization of various assisted circulation devices in cardiac arrest patients who did not respond to conventional cardiopulmonary cerebral res...Objectives To evaluate retrospectively the potential benefits of combined utilization of various assisted circulation devices in cardiac arrest patients who did not respond to conventional cardiopulmonary cerebral resuscitation （CPCR）. Methods Assisted circulation devices, including emergency cardiopulmonary bypass （ECPB）, intra-aortic balloon pump （IABP）, and left ventricular assist device （LVAD）, were applied to 16 adult patients who had cardiac arrest 82 rain-56 h after open heart surgery and did not respond to 20 rain or longer conventional CPCR. ECPB was applied to 2 patients, ECPB plus IABP to 8 patients, ECPB plus IABP and LVAD to 6 patients. Results One patient recovered fully and one patient died. Of the other 14 patients, 13 resumed spontaneous cardiac rhythm and one did not; none of them could be weaned from ECPB. Further treatment of the 14 patients with combinations of assisted circulation devices enabled 6 patients to recover. One of the 7 recovered patients died of reoccurring cardiac arrest after 11 days; the other 6 were discharged in good condition and were followed up for 3-49 months （mean =22 months）. Of the 6 discharged patients one suffered cerebral embolism during LVAD treatment, resulting in mild limitation of mobility of the right limbs ; the other 5 never manifested any central nervous system complications. There was no late deaths giving a 37.5% （6/16） long-term survival rate. Conclusions ECPB could effectively reestablish blood circulation and oxygen supply, rectify acidosis, and improve internal milieu. The combined utilization of ECPB, IABP, and LVAD reduces the duration of ECPB, improves the incidence of recovery, and offers beneficial alternatives to refractory cardiac arrest patients.展开更多
Percutaneous Patent Foramen Ovate PFO/Atrial Septal Defect (ASD) closure has become an increasingly simplified procedure over the past decade. The main advantages of a percutaneous approach include avoidance of surger...Percutaneous Patent Foramen Ovate PFO/Atrial Septal Defect (ASD) closure has become an increasingly simplified procedure over the past decade. The main advantages of a percutaneous approach include avoidance of surgery, short procedure time and hospital stay. Device embolization is seen rarely but it can be fatal. We report this complication following a percutaneous PFO closure in a 44-year-old man. The device was embolized into the distal part of the right pulmonary artery. We removed the device surgically and closed the PFO/ASD.展开更多
为了对特高压(UHV)串补装置高电位平台上的一次设备绝缘和二次系统电磁兼容(EMC)进行优化设计,需要对隔离开关操作或旁路间隙击穿引起的瞬态地电位升(PPR)和电磁骚扰进行测量。为此,提出了高电位、强电磁环境下的瞬态地电位升和电磁骚...为了对特高压(UHV)串补装置高电位平台上的一次设备绝缘和二次系统电磁兼容(EMC)进行优化设计,需要对隔离开关操作或旁路间隙击穿引起的瞬态地电位升(PPR)和电磁骚扰进行测量。为此,提出了高电位、强电磁环境下的瞬态地电位升和电磁骚扰测量方法。采用电磁屏蔽、直流供电、光纤通信等技术措施,研制了主要由高电位平台上的测量仪器、地面上的监控系统和通信系统组成的瞬态测量系统,该系统包含3个屏蔽区域。进行了特高压串补装置真型试验平台的隔离开关操作试验,获得了瞬态测量信号的幅域、时域和频域等特征。对瞬态测量系统的功能性测试表明:其屏蔽效能>40 d B,电磁兼容抗扰度满足国标规定的3级及以上且试验评价结果均为A级,工频耐压和冲击耐压分别为4、10 kV,主要性能指标满足特高压串补装置瞬态地电位升和电磁骚扰的测量要求。展开更多
文摘Objectives To evaluate retrospectively the potential benefits of combined utilization of various assisted circulation devices in cardiac arrest patients who did not respond to conventional cardiopulmonary cerebral resuscitation （CPCR）. Methods Assisted circulation devices, including emergency cardiopulmonary bypass （ECPB）, intra-aortic balloon pump （IABP）, and left ventricular assist device （LVAD）, were applied to 16 adult patients who had cardiac arrest 82 rain-56 h after open heart surgery and did not respond to 20 rain or longer conventional CPCR. ECPB was applied to 2 patients, ECPB plus IABP to 8 patients, ECPB plus IABP and LVAD to 6 patients. Results One patient recovered fully and one patient died. Of the other 14 patients, 13 resumed spontaneous cardiac rhythm and one did not; none of them could be weaned from ECPB. Further treatment of the 14 patients with combinations of assisted circulation devices enabled 6 patients to recover. One of the 7 recovered patients died of reoccurring cardiac arrest after 11 days; the other 6 were discharged in good condition and were followed up for 3-49 months （mean =22 months）. Of the 6 discharged patients one suffered cerebral embolism during LVAD treatment, resulting in mild limitation of mobility of the right limbs ; the other 5 never manifested any central nervous system complications. There was no late deaths giving a 37.5% （6/16） long-term survival rate. Conclusions ECPB could effectively reestablish blood circulation and oxygen supply, rectify acidosis, and improve internal milieu. The combined utilization of ECPB, IABP, and LVAD reduces the duration of ECPB, improves the incidence of recovery, and offers beneficial alternatives to refractory cardiac arrest patients.
文摘Percutaneous Patent Foramen Ovate PFO/Atrial Septal Defect (ASD) closure has become an increasingly simplified procedure over the past decade. The main advantages of a percutaneous approach include avoidance of surgery, short procedure time and hospital stay. Device embolization is seen rarely but it can be fatal. We report this complication following a percutaneous PFO closure in a 44-year-old man. The device was embolized into the distal part of the right pulmonary artery. We removed the device surgically and closed the PFO/ASD.
文摘为了对特高压(UHV)串补装置高电位平台上的一次设备绝缘和二次系统电磁兼容(EMC)进行优化设计,需要对隔离开关操作或旁路间隙击穿引起的瞬态地电位升(PPR)和电磁骚扰进行测量。为此,提出了高电位、强电磁环境下的瞬态地电位升和电磁骚扰测量方法。采用电磁屏蔽、直流供电、光纤通信等技术措施,研制了主要由高电位平台上的测量仪器、地面上的监控系统和通信系统组成的瞬态测量系统,该系统包含3个屏蔽区域。进行了特高压串补装置真型试验平台的隔离开关操作试验,获得了瞬态测量信号的幅域、时域和频域等特征。对瞬态测量系统的功能性测试表明:其屏蔽效能>40 d B,电磁兼容抗扰度满足国标规定的3级及以上且试验评价结果均为A级,工频耐压和冲击耐压分别为4、10 kV,主要性能指标满足特高压串补装置瞬态地电位升和电磁骚扰的测量要求。
