文档介绍：1382例体外循环中温度管理的临床研究
(作者:___________单位: ___________邮编: ___________)
【关键词】体外循环低温复温
Abstract: OBJECTIVE To retrospect the clinical technique of temperature management during extracorporeal circulation (ECC). METHODS 1382 cases underwent open heart surgery with ECC were devided into three groups according to the lowest nasopharyneal temperature: mild hypothermia group (32℃-35℃), moderate hypothermia group (26℃-31℃) and deep hypothermia group (<25℃). After the rectal temperature of all patients was rewarming to 36℃, the difference of rewarming time and rewarming velocity among three groups pared. RESULTS The lowest rectal temperature was (±)℃ in mild hypothermia group,(±)℃ in moderate hypothermia group and (±)℃ in deep hypothermia group. Average rewarming time was (±) min, (±) min and (±) min, respectively. Average rewarming velocity was (
±)℃/min, (±)℃/min and (±)℃/min,respectively. These difference among three groups had statistical significance(P<). All patients recovered well after operation. No surgical death or plications occurred. CONCLUSION Rewarming time and velocity during ECC should be carefully considered according to the extent of hypothermia in order to avoid plications.
Key words: Extracorporeal circulation; Hypothermia; Rewarming
体外循环(extracorporeal circulation,ECC)技术在外科领域的应用越来越广泛,不同手术要求