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这是一种替代技术,可以在没有心肺旁路的情况下进行全腔肺连接

Sachin Talwar¹, Anjali Tiwari¹, Sanjoy Sengupta¹

¹Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India.

Annals of pediatric cardiology

|May 20, 2024

概括

在没有心肺旁路 (CPB) 的情况下进行全腔肺连接 (Fontan) 可能会提供更好的结果和成本效益. 这种技术虽然在技术上具有挑战性,但与其优点一起被描述.

科学领域:

心血管外科心血管外科
儿科心脏手术儿科心脏手术

背景情况:

芬坦手术是复杂先天性心脏病的缓解手术.
心肺绕道 (CPB) 传统上是在Fontan手术中使用的.

研究的目的:

描述一种替代技术,在没有CPB的情况下进行全腔肺连接 (Fontan).
讨论没有CPB进行的Fontan操作的潜在优势.

主要方法:

对全腔肺连接进行修改的手术技术的描述.
具有和没有CPB的Fontan之间的结果比较.

主要成果:

没有CPB的Fontan可能会减少对无otropic支持的需求.
潜在的更快的恢复,更短的ICU和住院时间,减少排泄.
与改善术后结果和成本效益相关.

结论:

在没有CPB的情况下进行全腔肺连接在技术上要求很高,但这是可行的.
这种方法可以为术后恢复和资源利用提供显著的好处.

关键词:

通过心肺绕道术 (cardiopulmonary bypass) 进行心肺绕道.这里是Fontan Fontan.手术技术是指手术技术的使用.整个腔肺连接.

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