Szmolenszky T, Röth E, Török B
Acta Chir Acad Sci Hung. 1980;21(2):157-64.
In the experiments intact dog hearts with ligated descendents, hearts with aorta insufficiency and others with a cardiopulmonary bypass were perfused. It was demonstrated that both ischaemia and relative oxygen deficiency induce within a comparatively short time the same type of irreversible damage in the structure of the subendocardial layers of the myocardium (lysis and rupture of the myofilament, swelling of the mitochondrium, rupture and lysis of the crista, clearing of the matrix). Consequently, the aimed protection of the myocardium during cardiac surgery is of the greatest importance.
在实验中,对结扎了降支的完整犬心、主动脉瓣关闭不全的心以及进行体外循环的心进行了灌注。结果表明,缺血和相对缺氧在相对较短的时间内都会在心肌心内膜下层结构中引起相同类型的不可逆损伤(肌丝溶解和断裂、线粒体肿胀、嵴断裂和溶解、基质清亮)。因此,在心脏手术期间针对性地保护心肌至关重要。