静脉注射腺苷用于穿透性心脏创伤的手术治疗
Intravenous adenosine for surgical management of penetrating heart wounds.
作者信息
Kokotsakis John, Hountis Panagiotis, Antonopoulos Nikolaos, Skouteli Elian, Athanasiou Thanos, Lioulias Achilleas
机构信息
Department of Cardiac Surgery, Evangelismos General Hospital, 10676 Athens, Greece.
出版信息
Tex Heart Inst J. 2007;34(1):80-1.
Accurate suturing of penetrating cardiac injuries is difficult. Heart motion, ongoing blood loss, arrhythmias due to heart manipulation, and the near-death condition of the patient can all affect the outcome. Rapid intravenous injection of adenosine induces temporary asystole that enables placement of sutures in a motionless surgical field. Use of this technique improves surgical conditions, and it is faster than other methods. Herein, we describe our experience with the use of intravenous adenosine to successfully treat 3 patients who had penetrating heart wounds.
准确缝合穿透性心脏损伤很困难。心脏跳动、持续失血、心脏操作引起的心律失常以及患者的濒死状态都会影响手术结果。快速静脉注射腺苷可诱发短暂的心搏停止，从而能够在静止的手术视野中进行缝合。使用该技术可改善手术条件，且比其他方法更快。在此，我们描述了使用静脉注射腺苷成功治疗3例穿透性心脏创伤患者的经验。
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