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心脏直视手术中心肌麻痹注射的临床经验(作者译)

[Clinical experiences with cardioplegic injection in open heart surgery (author's transl)].

作者信息

Laczkovics A, Wolner E

出版信息

Thoraxchir Vask Chir. 1976 Jun;24(3):223-6. doi: 10.1055/s-0028-1095908.

Abstract

Two groups of 50 patients each who had undergone valve replacement with extracorporeal circulation, were examined. In the first group surgery had been performed only under coronary ischemia, whereas in the second group cardiac arrest was induced pharmacologically. IC CLUMP OCCURE MORE OFTEN. Also the amount of necessary defibrillation at occurrence of ventricular fibrillation was significantly lower. Besides it was extraordinary that after the cardiopulmonary bypass the consumption of positive inotropic drugs (Catecholamine) fsults injection-cardioplegia with its simple handling seemed evidently superior to coronary ischemia. But it remains to be seen, if injection-cardioplegia is equal to coronary perfusion.

摘要

对两组各50例接受体外循环瓣膜置换术的患者进行了检查。第一组仅在冠状动脉缺血情况下进行手术,而第二组通过药物诱导心脏骤停。IC团块更常出现。而且在发生心室颤动时所需的除颤量明显更低。此外,体外循环后正性肌力药物(儿茶酚胺)的消耗量非常惊人,注射式心脏停搏法操作简单,似乎明显优于冠状动脉缺血。但注射式心脏停搏法是否等同于冠状动脉灌注还有待观察。

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