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