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温血停搏液在心肌保护中的应用:概念与争议。

Warm Blood Cardioplegia for Myocardial Protection: Concepts and Controversies.

机构信息

Graduate Medical Education MD/MPH Program, University of Miami Miller School of Medicine, Miami, Florida 33130.

Department of Cardiothoracic Surgery, JFK Medical Center, Atlantis, Florida 33462.

出版信息

Tex Heart Inst J. 2020 Apr 1;47(2):108-116. doi: 10.14503/THIJ-18-6909.

Abstract

Warm blood cardioplegia has been an established cardioplegic method since the 1990s, yet it remains controversial in regard to myocardial protection. This review will describe the physiologic and technical concepts behind warm blood cardioplegia, as well as outline the current basic and clinical research that evaluates its usefulness. Controversies regarding this technique will also be reviewed. A long history of experimental data indicates that warm blood cardioplegia is safe and effective and thus suitable myocardial protection during cardiopulmonary bypass surgeries.

摘要

温血停搏液自 20 世纪 90 年代以来一直是一种成熟的心脏停搏液方法,但在心肌保护方面仍存在争议。本综述将描述温血停搏液背后的生理和技术概念,并概述目前评估其有用性的基础和临床研究。还将回顾关于该技术的争议。大量的实验数据表明,温血停搏液是安全有效的,因此在心肺旁路手术中是合适的心肌保护方法。

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本文引用的文献

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Is cold or warm blood cardioplegia superior for myocardial protection?冷血或温血心脏停搏液在心肌保护方面哪种更具优势?
Interact Cardiovasc Thorac Surg. 2012 Jun;14(6):848-55. doi: 10.1093/icvts/ivs069. Epub 2012 Mar 8.
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Warm versus cold cardioplegia for heart surgery: a meta-analysis.温血与冷血心脏停搏液在心脏手术中的应用:一项荟萃分析。
Eur J Cardiothorac Surg. 2010 Apr;37(4):912-9. doi: 10.1016/j.ejcts.2009.09.030. Epub 2009 Oct 21.

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