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超滤在小儿体外循环中的应用(Application of ultrafiltration in pediatric cardiopulmonary bypass)
超滤在小儿体外循环中的应用(Application of ultrafiltration in pediatric cardiopulmonary bypass)
Application of ultrafiltration in pediatric cardiopulmonary bypass
[source: the | time: 2008-08-22 | article Click: 1| review: 0 | fonts: large and small.
[Abstract] Objective: To summarize the clinical experience of ultrafiltration in children with congenital heart disease (CHD) undergoing cardiopulmonary bypass (CPB). Methods: from January 2000 to December 2006, 275 cases of CHD open heart surgery were performed in our hospital, including 62 cases of severe and complex malformation, and ultrafiltration was performed during the operation. The ultrafiltration methods included conventional ultrafiltration (CUF) and modified ultrafiltration (MUF). Results: no complications related to ultrafiltration were found in 62 cases. CUF was used in 41 cases and MUF in 21 cases. The time of the two ultrafiltration methods was (12.25 + 5.50) min, (11.35 + 2.38) min; respectively, the liquid (312 + 25) ml and (510 + 15) ml were respectively filtered. Hematocrit (HCT), (0.215 + 0.026) L/L, and CUF at the end of HCT (0.261 + 0.025) L/L, and MUF (0.35 + 0.034) L/L at the end of HCT in all patients. MUF also lowers the concentration of inflammatory factors while concentrating blood. Conclusion: ultrafiltration can filter out harmful substances such as inflammatory mediators. Both CUF and MUF can concentrate blood, and MUF also has the effect of rapidly filtering out excess water in the body and promoting the functional recovery of various organs. [keyword] children; congenital heart disease; ultrafiltration [CLC number:]R726[document code]A[article number]1673-7210 (2007) and 04 (b) -046-01 at the end of 1970s, cardiopulmonary bypass (CPB) began using conventional ultrafiltration (CUF) technique to correct blood dilution caused by low hematocrit (HCT) the phenomenon of. In 1991 Naik created modified ultrafiltration (MUF) method, the children after bypass recovery has played a positive role. The following
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