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一种用于改善局部心脏低温的循环冷却系统。

A recirculating cooling system for improved topical cardiac hypothermia.

作者信息

Rosenfeldt F L, Fambiatos A, Pastoriza-Pinol J, Stirling G R

出版信息

Ann Thorac Surg. 1981 Oct;32(4):401-5. doi: 10.1016/s0003-4975(10)61764-x.

DOI:10.1016/s0003-4975(10)61764-x
PMID:6975605
Abstract

A simple system is described that recirculates cooling fluid for topical cardiac hypothermia. This disposable system can produce a flow of 1,500 ml/min at 2 degrees to 4 degrees C. The recirculating cooler produced significantly lower myocardial temperatures than a conventional fluid-discard system in 22 patients having coronary operation. This system has been used as part of the technique of hypothermic cardioplegia in more than 600 patients. During various cardiac procedures, septal temperatures were maintained well below 20 degrees C for 60 minutes or more without the need to reinfuse the cardioplegic solution.

摘要

描述了一种用于局部心脏低温的冷却流体再循环的简单系统。这种一次性系统能够在2至4摄氏度下产生1500毫升/分钟的流量。在22例接受冠状动脉手术的患者中,该再循环冷却器产生的心肌温度明显低于传统的液体丢弃系统。该系统已在600多名患者中作为低温心脏停搏技术的一部分使用。在各种心脏手术过程中,间隔温度能在60分钟或更长时间内保持远低于20摄氏度,而无需重新注入心脏停搏液。

相似文献

1
A recirculating cooling system for improved topical cardiac hypothermia.一种用于改善局部心脏低温的循环冷却系统。
Ann Thorac Surg. 1981 Oct;32(4):401-5. doi: 10.1016/s0003-4975(10)61764-x.
2
Topical cardiac cooling by recirculation: comparison of a closed system using a cooling pad with an open system using a topical spray.通过再循环进行局部心脏降温:使用冷却垫的封闭系统与使用局部喷雾的开放系统的比较。
Ann Thorac Surg. 1982 Aug;34(2):138-45. doi: 10.1016/s0003-4975(10)60874-0.
3
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.
4
The effectiveness of topical cardiac hypothermia.局部心脏降温的有效性。
J Thorac Cardiovasc Surg. 1977 Feb;73(2):176-80.
5
Administering cold cardioplegia in patients undergoing coronary artery bypass grafting.在接受冠状动脉旁路移植术的患者中给予冷心脏停搏液。
Ann Thorac Surg. 1981 Feb;31(2):188-90. doi: 10.1016/s0003-4975(10)61541-x.
6
A comparison of heat exchangers for blood cardioplegia.用于血液心脏停搏液的热交换器的比较
Aust N Z J Surg. 1989 Apr;59(4):343-6. doi: 10.1111/j.1445-2197.1989.tb01579.x.
7
Topical cardiac hypothermia in patients with coronary disease. An unnecessary adjunct to cardioplegic protection and cause of pulmonary morbidity.
J Thorac Cardiovasc Surg. 1992 Sep;104(3):626-31.
8
An improved method of topical cardiac hypothermia.一种改良的局部心脏低温治疗方法。
J Thorac Cardiovasc Surg. 1981 Dec;82(6):878-82.
9
Selective topical cooling for myocardial protection.用于心肌保护的选择性局部降温。
Cardiovasc Surg. 1993 Apr;1(2):176-81.
10
[Long-term cardiac arrest by cardioplegic coronary perfusion (author's transl)].
Thoraxchir Vask Chir. 1976 Dec;24(6):468-75. doi: 10.1055/s-0028-1095913.

引用本文的文献

1
Use of a recirculator device for pericardial cold saline irrigation in cardiac surgery.心脏手术中使用循环装置进行心包冷盐水灌注。
Tex Heart Inst J. 2006;33(3):412-3.
2
A new efficient method of topical cooling and rewarming of the myocardium.一种新型高效的心肌局部冷却与复温方法。
Tex Heart Inst J. 1985 Dec;12(4):323-32.
3
Patient care problems in patients undergoing reoperation for coronary artery grafting surgery.冠状动脉搭桥手术再次手术患者的护理问题
Can Anaesth Soc J. 1984 Mar;31(2):213-20. doi: 10.1007/BF03015264.