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冷血心脏停搏液

Cold blood cardioplegia.

作者信息

Laks H, Barner H B, Kaiser G

出版信息

J Thorac Cardiovasc Surg. 1979 Feb;77(2):319-22.

PMID:310918
Abstract

The technique of myocardial protection by means of a cardioplegic solution consisting of cold blood (10 degrees C) with potassium (30 mEq. per liter) is described. A disposable cooling coil is used and a separate pump head for coronary perfusion is avoided. The aortic perfusion cannula can be used for venting of the left ventricle and subsequently for venting of air. This method was used in 125 consecutive patients undergoing coronary revascularization and in 73 consecutive pediatric cardiac surgical procedures with excellent results.

摘要

描述了一种心肌保护技术,即使用含钾(每升30毫当量)的冷血(10摄氏度)心脏停搏液。使用一次性冷却盘管,避免使用单独的冠状动脉灌注泵头。主动脉灌注插管可用于左心室排气,随后用于空气排出。该方法用于125例连续接受冠状动脉血运重建的患者以及73例连续的小儿心脏手术,效果极佳。

相似文献

1
Cold blood cardioplegia.冷血心脏停搏液
J Thorac Cardiovasc Surg. 1979 Feb;77(2):319-22.
2
[Experimental study on myocardial protection by means of retrograde coronary sinus cooling perfusion (RCSP) during aorto-coronary bypass surgery].[主动脉冠状动脉搭桥手术中经冠状静脉窦逆行低温灌注(RCSP)心肌保护的实验研究]
Hokkaido Igaku Zasshi. 1987 Jul;62(4):544-57.
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Evaluation of myocardial metabolism with microdialysis during bypass surgery with cold blood- or Calafiore cardioplegia.在冷血或卡拉菲奥雷心脏停搏液灌注的搭桥手术期间,用微透析法评估心肌代谢。
Eur J Cardiothorac Surg. 2006 Oct;30(4):597-603. doi: 10.1016/j.ejcts.2006.06.031. Epub 2006 Aug 8.
4
Reduction of myocardial infarction after emergency coronary artery bypass grafting for failed coronary angioplasty with use of a normothermic reperfusion cardioplegia protocol.采用常温再灌注心脏停搏液方案对冠状动脉成形术失败后行急诊冠状动脉旁路移植术患者进行治疗,可降低心肌梗死发生率。
J Thorac Cardiovasc Surg. 1991 Jun;101(6):1069-75.
5
Comparison of myocardial temperatures with multidose cardioplegia versus single-dose cardioplegia and myocardial surface cooling during coronary artery bypass grafting.冠状动脉搭桥术中多剂量心脏停搏液与单剂量心脏停搏液及心肌表面降温时心肌温度的比较。
J Thorac Cardiovasc Surg. 1989 May;97(5):715-24.
6
Metabolic and functional evidence that retrograde warm blood cardioplegia does not injure the right ventricle in human beings.代谢和功能证据表明,逆行温血心脏停搏术不会损伤人类右心室。
Circulation. 1994 Nov;90(5 Pt 2):II310-5.
7
Myocardial protection with cold, ischemic, potassium-induced cardioplegia.低温、缺血、钾诱导停搏液的心肌保护作用。
J Thorac Cardiovasc Surg. 1977 Mar;73(3):366-74.
8
Warm induction of cardioplegia with glutamate-enriched blood in coronary patients with cardiogenic shock who are dependent on inotropic drugs and intra-aortic balloon support.
J Thorac Cardiovasc Surg. 1983 Oct;86(4):507-18.
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Cold blood--potassium cardioplegia.冷血——钾停搏液
Ann Thorac Surg. 1980 Sep;30(3):297-9. doi: 10.1016/s0003-4975(10)61261-1.
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Effects of crystalloid and blood cardioplegic solutions on myocardial cooling during myocardial revascularization.晶体和血液心脏停搏液对心肌血运重建期间心肌降温的影响。
Can J Surg. 1984 May;27(3):257-9.

引用本文的文献

1
Myocardial protection during cardioplegia in open-heart surgery: a review.心脏直视手术中停搏液灌注期间的心肌保护:综述
Can Anaesth Soc J. 1980 Jul;27(4):381-8. doi: 10.1007/BF03007460.
2
Effect of diltiazem on functional recovery and myocardial metabolism during hypothermic global ischemia and normothermic reperfusion.地尔硫䓬对低温全心缺血及常温再灌注期间功能恢复和心肌代谢的影响。
Jpn J Surg. 1983 May;13(3):246-53. doi: 10.1007/BF02469484.