患者女性，61岁，因胸闷纳差、恶心2月就诊，CT检查示右肾癌并下腔静脉、右房癌栓形成。拟在全麻下行肾癌根治并腔静脉、右心房内癌栓取出术。通过股动脉和股静脉插管备体外循环。在人工心肺机辅助下，取出腔静脉和右心房内癌栓。辅助循环时间115min。术中渗血较多，手术期间共输注复方氯化钠1000ml，羟乙基淀粉130/0.4 1500ml，红细胞悬液1200ml，体外循环剩余机血500ml。手术时间共计295min，术毕送ICU进一步监护治疗。13d后患者康复出院。
This patient is female 61 years old, who visited doctors due to chest distress, improper diet and nausea.CT scan showed renal carcinoma and cancer epistom in vena cava and right atrium.The radical surgery of renal carcinoma was attempted to undertake under general anesthesia and the cancer epistom in vena cava and right atrium were removed simultaneously. Cardiopulmonary bypass (CPB) was established peripherally through femoral vein and artery. With the assistance of bypass unit, the cancer epistom in vena cava and right atrium were removed. The time of assistance of bypass unit was 115 min. During this operation capillary hemorrhage was too much. The transfusion included 1000ml sodium chloride, 1500ml hetastarch 130/0.4, 1200ml red cell suspension and 500ml remaining blood in bypass unit. The time of operation was 295 min in all. After operation the patient was transferred to ICU and discharged with rehabilitation 13 days after operation.
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