中枢神经系统保护方法在一岁儿童主动脉弓重建术中的应用效果

Y. Sinelnikov, E. Hasanov, Faig Mirzazada, I. Soynov
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引用次数: 0

摘要

目的:分析不同类型先天性主动脉弓病变患者手术治疗的后期效果。材料与方法:研究对象为2010-2015年在Meshalkin诊所手术的58例患者。考虑到中枢神经系统的保护方法,将患者分为两组:I组-采用深度低温法(n = 30), II组-选择前置脑灌注法(n = 28)。结果:与深度低温组相比,II组的住院死亡率和神经系统状态偶然性明显降低。结论:所选脑前灌注法组肾功能损害的可靠、有意义的结果有待进一步研究,确定其发展的伦理学complшсtaions,揭示其发病机制的“触发”点,使我们能够改进中枢神经系统保护方法在先天性畸形矫正中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficasy of CNS protection methods on aortic arch reconstructive operation in children of the first year of life
Aim: In the article have been analised late rezultes of the surgical treatment of the patients with various types of congenital aortic arch pathologies. Material and Methods: The investigation covered 58 patients, operated in Meshalkin clinic in 2010-2015 years. Taking account of CNS protection method, the patients were divided imto two groups: I group – was used deep hypothermia method (n = 30), II group – selected antegrad cerebral perfusion method (n = 28). Results: Hospital mortalities and neurological status chance rates were reliably lower in II group, than in deep hypothermia group. Conclusion: The revealed reliable meaningful results of renal function impairment in selected antegrad cerebral perfusion method group should be undergone for further investigations, determine ethiology of development of these complшсtaions, revealing the “trigger” point of the pathogenesis, which allow us improve the CNS protection method in correction of congential malformations.
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