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肺隔离灌注技术是将肿瘤所在的肺动、静脉游离插管与心泵连接 ,建立与体循环隔离的体外肺循环 ,在肝素化预充液中加入超量表阿霉素和环磷酰胺进行高温 (4 1～ 43℃ )灌注 ,5 0～ 6 0min停机。此方法选择性杀死肿瘤细胞并增强抗癌药物效能 ,是一种治疗晚期肺癌的新方法。我院开展此手术 14例 ,根据手术配合的要求 ,重点做好病人的术前访视 ,备齐各种抢救药物、化疗药物、测温仪、心电监护仪及特殊器械等准备工作。术中密切观察温度的变化 ,提高手术配合质量 ,14例病人均顺利通过手术 ,取得了满意效果
Pulmonary septal perfusion technique is to connect the pulmonary artery and vein of the tumor with the free heart catheter to establish an extracorporeal pulmonary circulation isolated from the systemic circulation. Ultra-epirubicin and cyclophosphamide are added to the heparinized priming solution for high temperature 4 1 ~ 43 ℃) perfusion, 50 0 ~ 60min downtime. This method, which selectively kills tumor cells and enhances the potency of anti-cancer drugs, is a novel approach for the treatment of advanced lung cancer. Our hospital carried out the operation in 14 cases, according to the requirements of surgical cooperation, focusing on doing a good job of the patient’s preoperative visit, ready for a variety of rescue drugs, chemotherapy drugs, thermometer, ECG monitor and special equipment preparations. Close observation of intraoperative temperature changes, improve the quality of surgery, 14 patients were successfully surgeries, and achieved satisfactory results