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首页> 外文期刊>Artificial Organs >Aortic Arch Surgery With a Single Centrifugal Pump for Selective Cerebral Perfusion and Systemic Circulation
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Aortic Arch Surgery With a Single Centrifugal Pump for Selective Cerebral Perfusion and Systemic Circulation

机译：带有单个离心泵的主动脉弓外科手术，用于选择性脑灌注和全身循环

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摘要

In aortic arch surgery, two pumps are required for systemic perfusion and selective cerebral perfusion (SCP). A new technique with a single centrifugal pump for systemic perfusion and SCP was developed and its efficacy and safety evaluated. This technique was adopted for total arch replacement in 22 consecutive patients with true aneurysms (13) and aortic dissection (nine) from January 2005 to January 2008. Cerebral perfusion lines branched from the main perfusion line. During SCP, right radial arterial pressure was maintained at 50 mm Hg and left common carotid arterial pressure at 60 mm Hg, and the regional cerebral oxygen saturation (rSO2) values were maintained at approximately 80% of the baseline value. Two operative deaths (9%) occurred due to pneumonia and hemorrhage in the left lung, respectively. Stroke occurred in one patient (5%). This simple circuit system can thus be easily and safely applied for aortic arch surgery.
机译：在主动脉弓手术中，需要两个泵来进行全身灌注和选择性脑灌注（SCP）。开发了一种采用单个离心泵进行系统灌注和SCP的新技术，并评估了其有效性和安全性。从2005年1月至2008年1月，该技术被用于22例真正的动脉瘤（13）和主动脉夹层（9例）的连续弓置换术。脑灌注线从主灌注线分支。在SCP期间，右radial动脉压维持在50mmHg，左颈总动脉压维持在60mmHg，区域性脑氧饱和度（rSO 2 ）值维持在> 80％Hg基线值。左肺炎和出血分别导致了两次手术死亡（9％）。一名患者（5％）发生中风。因此，这种简单的电路系统可以轻松安全地应用于主动脉弓手术。

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