Treatment experience of emergency cardiopulmonary bypass used in patients with non cardiac operation
Fan Wei-ying
Li Bing
Abstract：Objective To summarize the experience of emergency cardiopulmonary bypass ( ECPB) used in non-cardiac oper?ation patients in our hospital from 1999 to 2013. Methods A total of eight cases of ECPB used in non-cardiac operation in emergency rescue were completed, including two cases of traumatic subclavian artery rupture, one case of abdominal penetrating injury of superior vena cava rupture and left main bronchus insufficiency fracture injury, one case of pulmonary artery rupture caused by right pneumonec?tomy, one case of lower trachea insufficiency fracture caused by right trachea lobectomy;one case of esophageal arterial fistula opera?tion;one case of inferior vena cava tear caused by total gastrectomy; one case of tracheal carina tumors underwent carina reconstruc?tion. Aortic and right atrial ( or superior vena cava) bypass technique were used in three cases, femoral arteriovenous bypass technique was used in five cases. Results All cases of ECPB were successfully implemented, cardiopulmonary bypass time was 46 - 150 (68. 32 ± 11.1min) min. The operation original disease and secondary injury of were successfully completed. Ventricular fibrillation oc?curred in one patient, sinusrhythm was restored after transthoracic defibrillation. The hematocrit < 0.21 occurred in four cases and hy?perkalemia happened in three cases, all of whom return to normal by red blood cell transfusion or ultrafiltration therapy. Conclusion The high risknon-cardiac operations can be successfully completed by the application of ECPB technology. It provides a new method for the emergency rescue in massive hemorrhage or refractory hypoxemia of non-cardiac surgical operation.
Keywords：Extracorporeal circulationNon-cardiac operationEmergency treatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 50-51 )