摘要
目的探讨再阻断控制性温血灌注在心脏复苏障碍时应用。方法回顾性分析35例发生心脏复苏困难患者。(1)体外循环(CPB)方法:采用中度低温,中度血液稀释,4:1血停搏液灌注心肌保护。(2)控制性温血再灌注方法:对21例主动脉开放后ST段抬高患者实施再阻断不停跳温血灌注,14例发生心脏复跳困难患者给予再阻断高钾温血停搏液灌注。结果所有患者均顺利脱离CPB。结论解决主动脉开放后心脏复苏困难,再阻断控制性温血灌注是简单而有效的方法。
OBJECTIVE To elucidate the beneficial effects of controlled warm blood reperfusion in difficulty of cardiac resuscitation. METHODS 35 patients suffered from difficulty in cardiac resuscitation after - clamp release ( 16-75 years old, weights 36 ~ 82kg). Mild hypothermic and hemodilution were used in all cases during CPB. Myocardial protection during ischemia was obtained by 4: Iblood cardioplegia solution. 21 patients with elevated S -T electrocardiogram were reperfused with warm blood, and 14cases with difficulty of cardiac resuscitation were reperfused with high concentration potassium (21mmol/L) warm blood. RESULTS All cases were successfully removed from CPB. CONCLUSION Controlled warm blood reperfusion is effective for patients suffering from difficulty with cardiac resuscitation.
出处
《中国体外循环杂志》
2003年第4期234-236,共3页
Chinese Journal of Extracorporeal Circulation
关键词
体外循环
心脏复苏困难
原因分析
控制性温血灌注
controlled reperfusion with warm blood
difficulty with cardiac resuscitation
