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[非灌注低温保护下心瓣膜假体肾上腺皮质反应的特征]

[Characteristics of the adrenocortical reaction of a heart valve prosthesis during non-perfusion hypothermal protection].

作者信息

Malygina A N, Shchukin V S, Tsvetovskaia G A, Evnina I I, Khrapov A V

出版信息

Vestn Khir Im I I Grek. 1989 Apr;142(4):3-7.

PMID:2800159
Abstract

Correction of acquired diseases of the heart performed under conditions of nonperfusion hypothermal defense (29-28 degrees C) in 68 patients was followed by a moderately pronounced adreno-cortical reaction reaching its maximum in the period of heating and having a tendency to decrease on the third day after operation. The absence of a pronounced relationship between the degree of growth of 11-OCS in plasma, duration of occlusion and continuation of the restorative period confirm the adequacy and effectiveness of the method of hypothermal defense in prosthesis of the heart valves.

摘要

在68例患者中,于非灌注低温防护(29 - 28摄氏度)条件下进行后天性心脏病矫正手术,术后出现中度明显的肾上腺皮质反应,该反应在升温期达到最大值,并在术后第三天有下降趋势。血浆中11 - OCS的增长程度、阻断持续时间与恢复期的延续之间不存在明显关联,这证实了心脏瓣膜置换术中低温防护方法的充分性和有效性。

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