Stewart J V, Hicks S L, Leflar K M, Kaempf G, Bove L A, DiMarzio D
J Cardiovasc Nurs. 1993 Jan;7(2):23-31. doi: 10.1097/00005082-199301000-00004.
Surgical methods of augmenting cardiac function are gaining credibility among researchers as animal and human clinical trials continue around the world. The procedures themselves may vary slightly depending upon protocol and surgeon preference, but generally involve the use of skeletal muscle such as the latissimus dorsi. The muscle may be wrapped around the heart or the aorta, or fashioned into a separate pumping chamber. The muscle is then stimulated with specialized burst pacing, the resultant contractions providing circulatory support. This article describes preoperative, intraoperative, postoperative, and follow-up patient and family care for those undergoing skeletal muscle wrap procedures. If trials continue to produce positive results, these interventions may become an important bridge to transplant. Moreover, with the scarcity of donor hearts, the implications for skeletal muscle wrapping as a long-term alternative to transplant are promising.
随着全球范围内动物和人体临床试验的持续进行，增强心脏功能的手术方法在研究人员中越来越受到认可。手术过程本身可能会因方案和外科医生的偏好而略有不同，但通常涉及使用背阔肌等骨骼肌。该肌肉可以包裹在心脏或主动脉周围，或者制成一个单独的泵血腔室。然后用专门的短阵起搏刺激该肌肉，由此产生的收缩提供循环支持。本文描述了接受骨骼肌包裹手术患者及其家属在术前、术中、术后和随访期间的护理。如果试验继续产生积极结果，这些干预措施可能成为移植的重要桥梁。此外，由于供体心脏稀缺，骨骼肌包裹作为移植的长期替代方法的前景很广阔。
