The management of cardiopulmonary bypass in the patients over 70 years during open heart surgery
- VernacularTitle:70岁以上患者行心血管外科手术的体外循环管理
- Author:
Jinping LIU
;
Qingling ZHOU
;
Cun LONG
- Publication Type:Journal Article
- Keywords:
Extracorpored circulation;
Cardiac surgical procedures
- From:
Chinese Journal of Geriatrics
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the effective managements of cardiopulmonary bypass (CPB) duing open heart surgery in the elderly patients by comparing with that of the non-elderly groups. Methods Pre-operative common data and the managements for 84 elderly patients during the cardiopulmonary bypass from January 1998 to June 2000 were analyzed retrospectively, and the same data of 80 non-elderly patients(40-60 years old) who underwent CABG during the same period were also randomly selected and compared. Results The elderly patients were usually combined with hypertension, diabeties, chronic kindney failure and abnormal pulmonary function. The average time for CPB and clamping time for the ascending aorta were (115.6?27.0)min and (80.4?32.2)min, respectively. The average lowest nasopharyngeal and anal temperature was (29.8?1.4)℃ and (30.7?0.8)℃, respectively, showing no significant difference comaparing with those of the non-elderly patients. There was significant difference between the two groups in the transfusion of shed blood(P
