Seifert P C
Halifax Medical Center, Dayton Beach, Florida, USA.
J Cardiovasc Nurs. 1998 Apr;12(3):29-38. doi: 10.1097/00005082-199804000-00005.
The success of cardiac surgery is due in large part to the myocardial protection techniques employed to maintain cardiac viability during the period of induced ischemic arrest. As the number of older, high-risk cardiac surgical patients increases, advances in myocardial protection have become necessary to achieve a quiet, bloodless operative field without the production of irreversible intraoperative myocardial damage. Current efforts to provide optimal myocardial protection have focused on the effects of cardioplegic perfusate temperature, distribution of cardioplegia flow, and components of the arresting solution. Minimally invasive techniques have expanded surgical options and have led to the development of new methods to protect the myocardium.
心脏手术的成功在很大程度上归功于在诱导性缺血停搏期间用于维持心脏活力的心肌保护技术。随着老年高危心脏手术患者数量的增加，心肌保护方面的进展对于实现安静、无血的手术视野且不产生不可逆的术中心肌损伤变得至关重要。目前为提供最佳心肌保护所做的努力集中在心脏停搏灌注液温度的影响、心脏停搏液流动的分布以及停搏液的成分上。微创技术扩大了手术选择，并导致了保护心肌的新方法的发展。
