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[我们在人工循环手术期间通过用循环冷溶液冲洗心包腔来保护心肌的初步经验]

[Our initial experience of protecting the myocardium by irrigating the pericardial cavity with a circulating cold solution during operations with artificial circulation].

作者信息

Mishchenko E B, Shabalkin B V, Lur'e G O, Lokshin L S, Zhbanov I V, Dreval' D A

出版信息

Grud Serdechnososudistaia Khir. 1993 May-Jun(3):24-6.

PMID:8217310
Abstract

In 21 patients with coronary heart disease, a procedure of protecting the myocardium was used during cardiac surgeries via irrigation of the pericardial cavity with circulating cold solution in combination with cardioplegia into the aortic root. The application of the procedure maintained stable myocardial temperature from 10.26 +/- 1.55 to 11.99 +/- 1.95 degrees C, excluding excessive overcooling and premature warming. The procedure awaits further studies in terms of biochemical changes and morphology of the myocardium at various stages of surgery.

摘要

在21例冠心病患者的心脏手术中,采用了一种心肌保护方法,即通过向心包腔内灌注循环冷溶液并结合向主动脉根部注入心脏停搏液来保护心肌。该方法的应用使心肌温度稳定维持在10.26±1.55至11.99±1.95摄氏度之间,避免了过度冷却和过早升温。就手术各阶段心肌的生化变化和形态学而言,该方法有待进一步研究。

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