持续温血心脏停搏液的陷阱与解决方法
Continuous warm blood cardioplegia pitfalls and solutions.
作者信息
Rescigno G, Nataf P, Raffoul R, Ramadan R, Scorsin M, Lessana A
机构信息
Department of Cardiac Surgery, Centre Cardiologique du Nord (CCN), Saint Denis, France.
出版信息
Heart Surg Forum. 1998;1(2):142-5.
BACKGROUND
Continuous warm blood cardioplegia offers superior preservation in both routine and complicated cardiac cases. Management of continuous perfusion is an important task during each case.
METHODS
The authors have developed several specific techniques to ensure stable catheter insertion and placement for continuous coronary sinus or antegrade ostial perfusion.
RESULTS
Over 3,800 patients have been operated on with continuous warm blood cardioplegia using catheter techniques as described in this article. The overall 30-day mortality was 3.9%.
CONCLUSIONS
Safe application of continuous warm blood cardioplegia has many advantages over prior cold techniques, but surgeons must know certain technical modifications to be able to universally apply continuous techniques safely.
背景
持续温血心脏停搏液在常规和复杂心脏病例中均能提供更好的心肌保护。在每例手术中，持续灌注的管理都是一项重要任务。
方法
作者开发了几种特定技术，以确保连续冠状静脉窦或顺行开口灌注时导管的稳定插入和放置。
结果
超过3800例患者接受了本文所述导管技术的持续温血心脏停搏液手术。30天总死亡率为3.9%。
结论
与先前的冷技术相比，安全应用持续温血心脏停搏液有许多优点，但外科医生必须了解某些技术改进，以便能够安全地普遍应用持续技术。
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