ABSTRACT
Complex estimation of the state of the lungs at the postperfusion and early postoperative periods based on roentgenological, clinical data, investigations of the parameters of oxygenation and mechanics of respiration was carried out in 32 children with septal defects of the heart, operated upon under conditions of artificial blood circulation with different kinds of the transfusion maintenance including the apparatus "Cell Saver 5" (CS) for the reinfusion of autoerythrocytes. The dynamics of endotoxicosis, hematological parameters during and after operation and requirements in transfusion media were studied. Differences in these indicators were established between the patients operated upon with the use of donor hemocomponents and those who were operated upon with CS. It allowed a conclusion about the role of the method of intraoperative reinfusion of erythrocytes in substantially less frequency and severity of the postperfusional pulmonary complications in this category of patients.
Subject(s)
Blood Transfusion, Autologous/methods , Cardiac Surgical Procedures , Erythrocyte Transfusion/methods , Intraoperative Care/methods , Postoperative Complications/prevention & control , Respiratory Insufficiency/prevention & control , Blood Transfusion, Autologous/instrumentation , Child , Erythrocyte Transfusion/instrumentation , Extracorporeal Circulation/instrumentation , Extracorporeal Circulation/methods , Female , Heart Septal Defects, Atrial/blood , Heart Septal Defects, Atrial/surgery , Heart Septal Defects, Ventricular/blood , Heart Septal Defects, Ventricular/surgery , Humans , Intraoperative Care/instrumentation , Male , Postoperative Complications/blood , Postoperative Complications/etiology , Respiratory Insufficiency/blood , Respiratory Insufficiency/etiology , Risk FactorsABSTRACT
The authors have generalized data on 22 primary tumors of the diaphragm published in our national literature for the period up to 1983. A detailed analysis of a case observed by the authors is given. Benign fibroma of the left-side cupola of the diaphragm weighed 1100,0. Multiple metastases were revealed 1,5 year later first into the postoperative cicatrix, then into the lungs and body. The histological examination has established the diagnosis of fibrosarcoma. The patient survived for 3 years after the first operation. The authors recommend a thorough roentgenological examination to be made for a correct diagnosis of the diaphragm tumor. In all the cases the benign tumor should be dissected with the portion of the diaphragm within the necessary limits.
