Eynon C A
Department of Accident and Emergency, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK.
Resuscitation. 2000 Nov;47(3):325-8. doi: 10.1016/s0300-9572(00)00322-1.
Direct massage of the heart may be performed using a specifically designed device inserted via a limited thoracic incision. The technique is simple to perform and has been shown in experimental studies to be physiologically similar to formal open-chest cardiac massage. Preliminary human studies have been encouraging and pre-hospital and in-hospital studies are in progress. Modification of the device allows combined epicardial-transthoracic defibrillation. Energy requirements for successful defibrillation using this method are considerably lower than standard external defibrillation.
可使用经有限胸廓切口插入的专门设计的装置对心脏进行直接按摩。该技术操作简单，实验研究表明其在生理上与传统的开胸心脏按摩相似。初步的人体研究结果令人鼓舞，院前和院内研究正在进行中。对该装置进行改进后可实现心外膜 - 经胸除颤。使用这种方法成功除颤所需的能量远低于标准体外除颤。
