ARTIFICIAL MAINTENANCE OF CIRCULATION DURING EXPERIMENTAL OCCLUSION OF PULMONARY ARTERY
ARTIFICIAL MAINTENANCE OF CIRCULATION DURING EXPERIMENTAL OCCLUSION OF PULMONARY ARTERY
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实验性肺动脉闭塞期间的人工循环维持
DOI：
10.1001/archsurg.1937.01190120131008
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发表时间：
1937
影响因子：
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通讯作者：
J. H. Gibbon
中科院分区：
文献类型：
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作者：
J. H. Gibbon
据报道，大约有142例特伦德伦伯格手术治疗大面积肺栓塞，只有9例手术患者治愈出院。[1]这种极高的死亡率是由于病人的危急情况和手术过程，手术过程需要在短时间内完全节流从心脏引出的大血管。由于诊断困难和预后不确定，Nystrom 2建议推迟手术，直到病人几乎奄奄一息。然后，正如丘吉尔（3）所述，“这一程序也许更适合称为立即尸检，而不是外科手术。“Nystrom和Blalock 4已经通过实验证明，肺动脉单独闭塞可以安全地维持比肺动脉和主动脉都闭塞更长的时间。Kiser 1发现，收缩的传入血管，
Approximately one hundred and forty-two Trendelenburg operations for massive pulmonary embolism have been reported, and only nine of the patients operated on have left the hospital as cured. 1 This exceedingly high mortality is due to the critical condition of the patient and to the operative procedure, which entails the complete throttling of the great vessels leading from the heart for a brief period. Because of the difficulty in diagnosis and the uncertain prognosis, Nystrom 2 advised postponing the operation until the patient is practically moribund. Then, as Churchill 3 has stated, "the procedure could perhaps be more properly termed an immediate postmortem examination than a surgical operation." Nystrom and Blalock 4 have demonstrated experimentally that occlusion of the pulmonary artery alone may be safely maintained for a longer period than occlusion of both the pulmonary artery and the aorta. Kiser 1 found that constriction of the afferent vessels of