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心脏骤停和使用甲氧明期间室颤特征的实验性比较研究

An experimental comparative study on the characteristics of ventricular fibrillation during cardiac arrest and methoxamine administration.

作者信息

Pan T, Chau S, Von Planta M, Studer W, Scheidgger D

机构信息

Department of Thoracic and Cardiac Surgery, Tongji Hospital, Tongji Medical University, Wuhan. Wuhan.

出版信息

J Tongji Med Univ. 1997;17(2):94-7. doi: 10.1007/BF02888243.

DOI:10.1007/BF02888243
PMID:9639798
Abstract

The effect of a pure alpha-adrenergic agent, methoxamine on ventricular fibrillation (VF) amplitude and the relation between hemodynamic parameters and survival in a rodent cardiopulmonary resuscitation (CPR) model were studied. Our results suggested that: 1) VF amplitude decreased during untreated VF, but it increased during pericardial chest compression: 2) methoxamine significantly increased the mean aortic pressure (MAP) and coronary perfusion pressure (CPP) but not VF amplitude, and the survival also increased due to elevation of CPP; and 3) all surviving animals with successful defibrillation had a higher VF amplitude.

摘要

研究了一种纯α-肾上腺素能药物甲氧明对心室颤动(VF)幅度的影响,以及在啮齿动物心肺复苏(CPR)模型中血流动力学参数与生存率之间的关系。我们的结果表明:1)在未经处理的VF期间VF幅度降低,但在心包胸外按压期间增加;2)甲氧明显著提高平均主动脉压(MAP)和冠状动脉灌注压(CPP),但不提高VF幅度,并且由于CPP升高生存率也增加;3)所有成功除颤的存活动物具有更高的VF幅度。

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引用本文的文献

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本文引用的文献

1
Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project.心脏骤停发生率及后续生存率的种族差异。芝加哥心肺复苏项目。
N Engl J Med. 1993 Aug 26;329(9):600-6. doi: 10.1056/NEJM199308263290902.
2
Amplitude of ventricular fibrillation waveform and outcome after cardiac arrest.心室颤动波形的振幅与心脏骤停后的预后
Ann Intern Med. 1985 Jan;102(1):53-5. doi: 10.7326/0003-4819-102-1-53.
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Cardiac resuscitability with cardiopulmonary bypass after increasing ventricular fibrillation times in dogs.
Ann Emerg Med. 1990 Aug;19(8):887-90. doi: 10.1016/s0196-0644(05)81562-8.
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Treatment of prolonged ventricular fibrillation. Immediate countershock versus high-dose epinephrine and CPR preceding countershock.
Circulation. 1992 Jan;85(1):281-7. doi: 10.1161/01.cir.85.1.281.