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医学免费论文:体外循环在非心脏外科手术中的应用
【摘要】 目的 探讨体外循环技术在非心脏外科手术中的临床疗效。方法 1996年7月至2008年4月我院在11例非心脏外科手术中应用体外循环技术，其中在体外循环下行左侧局部晚期肺癌扩大根治术3例，肺动脉栓塞取栓术2例，气管肿瘤切除2例，布加综合征根治术2例，纵隔肿瘤切除术2例。结果 11例病人全部康复出院。11例患者随访6～36个月，1例肺癌存活10月后死亡；另2例肺癌患者术后13及15个月仍存活；2例肺动脉栓塞取栓术患者恢复正常工作；2例布加综合征根治术患者术后已存活6个月；2例纵隔肿瘤切除术患者术后分别存活13及15个月。结论 体外循环技术在非心脏外科手术中的应用已取得了较好的疗效，可为临床治疗危重病人提供重要救治手段，具有临床应用价值。
【关键词】 体外循环；外科手术；非心脏外科手术
Application of cardiopulmonary by pass in nonheart surgery
LIN Feng，LIANG Yuepei, SONG Jianfei, LI Angui, DU Zhenzong, ZHENG Min, WANG Wei, LI Mu (Department of Cardiothoracic Surgery, Guilin Medical College, Guilin Guangxi 541001,China)
Abstract: Objective To study the application of cardiopulmonary by pass (CPB) in nonheart surgery. Methods Extracorporeal circulation was used in 11 noncardiovascular operations from 1996 the july to April the 2008. The CPB were applied in 3 cases of extensive radical surgery for left advanced lung cancer, 2 cases of removal of thrombus in pulmonary artery, 2 cases of tracheal tumors excision , 2 cases of radical surgery for BuddChiari syndrome，2 cases of mediastinal tumors excision. Results All 11 cases were cured and followed up for 6 to 36 months. 1 case of lung cancer died 10 months later，and the other 2 still lived 13 and 15 months later. 2 cases of pulmonary embolism return to work, 2 cases of BuddChiari syndrome still lived 6 months later, 2 cases of mediastinal tumors lived after 13 and 15 months. Conclusion CPB in nonheart surgery is effective in clinic and can be a life saving approach in some critical cases in addition to heart surgery.
Keywords: cardiopulmonary by pass(CPB) ; surgery; noncardiac surgery
体外循环（cardiopulmonary by pass, CPB)技术应用于心脏以外的手术，可提供无血手术野，有效回收病人术中失血，及时有效循环灌注，大大减少库血的使用及并发症，有效降低手术的风险，为重大、复杂的外科手术提供有利的条件［12］。1996年7月至2008年4月我们将CPB技术用于11例非心脏外科手术中。本文就此11例患者的临床资料进行分析，探讨体外循环技术在非心脏外科领域中的临床应用效果，旨在拓宽CPB应用范围，为临床救治重症病人提供参考医.学.全.在.线www.lindalemus.com。
1 资料与方法
1.1 临床资料
