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[常温人工循环结合持续温血心脏停搏的首次经验]

[First experience in normo-thermal artificial circulation with constant warm blood cardioplegia].

作者信息

Lur'e G O, Shabalkin B V, Vol'gushev V E, Iavorovskiĭ A G, Lokshin L S, Zhdanov I I

出版信息

Anesteziol Reanimatol. 1995 Jan-Feb(1):35-7.

PMID:7605032
Abstract

Normo-thermal artificial circulation (NAC) with constant thermal blood cardioplegia (CTBC) was carried out for the first time in Russia in 12 coronary patients subjected to surgical revascularization of the myocardium. Artificial circulation device with the vesical type oxygenator was used for NAC. For CTBC, systems for delivery of the cardioplegic solution and blood from the oxygenator in 1:4 ratio were used. Freme type cardioplegic solutions made by the authors were used. NAC duration was 53 to 139 min, the mean value being 103.4 min. The aorta was clamped for 38 to 96 min, the mean value 70.1 min. Asystole developed soon after CTBC began. After CTBC was discontinued, heart work recovered without cardiotonics.

摘要

1985年,俄罗斯首次对12例接受心肌血管重建手术的冠心病患者实施了常温人工循环(NAC)及恒温水血心脏停搏液(CTBC)。NAC采用带膀胱式氧合器的人工循环装置。CTBC则使用按1:4比例输送心脏停搏液和氧合器血液的系统。使用了作者自行配制的弗勒梅型心脏停搏液。NAC持续时间为53至139分钟,平均值为103.4分钟。主动脉阻断时间为38至96分钟,平均值为70.1分钟。CTBC开始后不久即出现心脏停搏。停止CTBC后,心脏功能在未使用强心剂的情况下恢复。

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