经皮心肺支持精选文档.ppt
《经皮心肺支持精选文档.ppt》由会员分享,可在线阅读,更多相关《经皮心肺支持精选文档.ppt(12页珍藏版)》请在得力文库 - 分享文档赚钱的网站上搜索。
1、经皮心肺支持本讲稿第一页,共十二页Case A 68-year-old woman was diagnosed with primary lung cancer stage IIB in another hospital where she had undergone induction chemoradiotherapy and then a right pneumonectomy for non-small cell cancer(adenocarcinoma)本讲稿第二页,共十二页本讲稿第三页,共十二页 Twenty-one months later,the cancer metasta
2、sized to the brain,which was treated by 2-knife radiosurgery.She had been well for up to 32 months;however,the chest radiography and chest computed tomography(CT)demonstrated a nodule in the left upper lobe of the lung that was gradually growing.Although conservative treatment was recommended by the
3、 other hospital,she hoped to undergo surgery,so she was referred to Jikei University Hospital.Chest CT showed an irregular coin lesion of 13 13mm in size in the superior segment.本讲稿第四页,共十二页本讲稿第五页,共十二页 The lesion was diagnosed as metastatic lung cancer.The clinical test results for arterial blood gas
4、 analysis were PaO2,95.6 torr;and PaCO2,41.6 torr under ambient conditions and test results for spirometry were FVC,1240 ml;%VC,53.0%;FEV1.0,980 ml.Since the general condition of the patient was good,we attempted the surgery,expecting to maintain the residual FEV1.0 at 900 ml after surgery.本讲稿第六页,共十
5、二页 The VATS partial resection was performed using PCPS under one-lung ventilation with 3 ports in the right lateral position.A total of 8000 U of heparin was injected intravenously through a 17-Fr arterial cannula via the right femoral artery into the abdominal aorta and through a 21-Fr venous cannu
6、la via the right femoral vein into the right atrium,with a percutaneous cardiopulmonary support(PCPS)flow of 3.3 L/min.PCPS time was 75 min and the intraoperative hemodynamic status was stable.The total bleeding volume was 85 ml,and she had no complications such as embolism,thrombosis,bleeding,or in
- 配套讲稿:
如PPT文件的首页显示word图标,表示该PPT已包含配套word讲稿。双击word图标可打开word文档。
- 特殊限制:
部分文档作品中含有的国旗、国徽等图片,仅作为作品整体效果示例展示,禁止商用。设计者仅对作品中独创性部分享有著作权。
- 关 键 词:
- 经皮心肺 支持 精选 文档
限制150内