CLINICAL ENGINEERING FOR THE SAFETY OF OPEN HEART SURGERY:WIITH SPECIAL REFERENCE TO EXTRACORPOREAL CIRCULATION
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概要
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A safe method for extracorporeal circulation was investigated by utilizing clinical changes in hemodynamic condition, various metabolic processes and components of the blood cells, and the following results were obtained. 1) The combination of a holofiber-type lung with a centrifugal type pump has been the safest to date. 2) In extracorporeal circulation combined with core cooling, the lower the temperature was below 28°C, the greater was the disturbance in homeostasis. 3) The contents of the transfusion during the extracorporeal circulation had more effect on the postoperative hemorrhage volume than the number of thrombocytes at the end of extracorporeal circulation. 4) Improving the apparatus for extracorporeal circulation is thought to be more effective for protection of thrombocytes than drug therapy. 5) Miniaturization of the apparatus and establishment of a valid pulsation flow are needed to enhance the safety of open heart surgery.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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