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犬类非开胸手术的实验性选择性心肌梗死

Experimental selective myocardial infarction in the dog without open-chest-surgery.

作者信息

Beyer M, Eggeling T, Hoffer H, Mierdl S E, Beyer U, Hannekum A

机构信息

Department of Chest and Cardiovascular Surgery, Ulm University Hospital, Ulm/Donau, Federal Republic of Germany.

出版信息

Res Exp Med (Berl). 1992;192(3):169-75. doi: 10.1007/BF02576272.

Abstract

In 16 dogs, a selective myocardial infarction (MI) was experimentally provoked without open-chest-surgery by means of microspheres (MS) injected into a Judkins-catheter positioned into the left anterior descending coronary (LAD) under fluoroscopy. This was shown by ECG-abnormalities, increase of the serum-enzymes of myocardial necrosis, decrease of left ventricular end diastolic pressure (LVEDP), wedge pressure, and cardiac output. After 5 weeks, thoracotomy showed a myocardial infarction limited to the anterior wall of the heart, which was of subendocardial location and consisted of multiple zones of microinfarction. Histological examination of the corresponding area showed necrosis of myocardial muscle fibres.

摘要

在16只犬中,在透视引导下,通过将微球(MS)注入置于左前降支冠状动脉(LAD)的Judkins导管内,在不进行开胸手术的情况下实验性诱发了选择性心肌梗死(MI)。这通过心电图异常、心肌坏死血清酶升高、左心室舒张末期压力(LVEDP)、楔压和心输出量降低得以证实。5周后,开胸手术显示心肌梗死局限于心脏前壁,为心内膜下位置,由多个微梗死区域组成。相应区域的组织学检查显示心肌纤维坏死。

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