Michaelis L L
Clinic of Surgery, National Heart and Lung Institute, Bethesda, Md. 20014.
Ann Thorac Surg. 1975 Jul;20(1):72-5. doi: 10.1016/s0003-4975(10)63855-6.
Perfusion of the coronary arteries with oxygenated blood during cardiopulmonary bypass should in theory offer perfect myocardial protection, but the difficulties sometimes encountered with direct cannulation and the hazards of prolonged fibrillation in spite of perfusion raise questions regarding its universal efficacy. Arguments for and against coronary artery perfusion are presented and the hazards of partial perfusion are stressed.
在体外循环期间用含氧血液灌注冠状动脉理论上应能提供完美的心肌保护,但有时直接插管会遇到困难,而且尽管进行了灌注,仍存在长时间颤动的风险,这引发了对其普遍疗效的质疑。文中阐述了支持和反对冠状动脉灌注的观点,并强调了部分灌注的风险。