简介:我院自1995~1999年共完成心内直视手术约150例,其中发生升主动脉插管意外3例。现就其临床经过及处理报道如下。 1病例 例1:女,9岁。体重22kg。术前诊断室间隔缺损(VSD)。拟在体外循环下行心内直视修补术,并行循环开始动脉灌注流量(20~30)ml.kg-1.min-1,泵压高达34.66~40.00kPa,平均动脉压(MAP)2.67~4.00kPa,心脏胀满,以左心为著。经台上反复调整未能奏效,后请上级医师调整插管方向,方恢复正常体外循环,泵压立即降为16.00kPa,全过程约7~8分钟。术后给予适当高流量灌注,保持酸碱平衡,用甲基强的松龙600mg,20%甘露醇60ml加强脑保护。术后7天痊愈出院,无并发症。
简介:ObjectiveResearchinthetherapeuticeffectandmechanismofmicro-circulationbarriersafterFracturedLimb(fingers)Replantation(FLR)appliedwithHyperbaricOxygen.MethodTheresearchobjectivesare33paintswhoaresufferingfrommicro-circulationbarriersafterFLR,andtheordinaryclinictherapyisunsatisfactory.After10to20timesofHyperbaricOxygentreatment,thestatisticisworkedoutaccordingtoclinictherapeuticeffectstandard.Thus,theeffectiveratereaches86.11%.Thecomparisonoftherapeuticeffectsbeforeandafterthetreatmentisobviouslydifferent(P<0.01).ConclusionThetherapeuticeffectisabsolutelygorgeousifappliedHyperbaricOxygentosubsidernicrocirculationbarriersafterFLR.Thetherapeutic.Mechanismistosoothanoxicstate,improvemicrocirculation,andfacilitatetheretrievaloffracturedlimb(fingers).