复苏困难的重症瓣膜病人心肌保护方法  

Myocardial Protection Used in Valvular Patients with Repeated Failed Cardiac Defibrillation

作　　者：冼明海[1] 梁荣鑫[1] 廖益永[1] 

机构地区：[1]广东省高州市人民医院

出　　处：《中国中医药现代远程教育》2009年第4期120-121,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的 总结9例复苏困难的重症瓣膜病患者成功复苏经验,尝试心肌保护新方法.方法 对经多次除颤不能复苏的重症瓣膜病患者,采用再次阻断升主动脉,行4:1半钾温冷血停搏液诱停加纯温血持续灌注,待心脏复苏后再开放升主动脉的方法.结果 9例复苏困难的重症瓣膜病患者均自动复苏.结论 再次阻断升主动脉,行4:1半钾冷血停搏液诱停加纯温血(不含停搏液)持续灌注,待心脏复苏后再开放升主动脉的方法为复苏困难的心脏直视手术患者成功复苏提供了新方法.OBJECTIVE The successful experience of a new method of myocardial protection was summarized in heart resuscitation of 9patients with serious heart valve diseases with refractory cardiac resuscitation.METHODS In 9pa-tients with repeated failed cardiac defibrillation,the aorta was cross-clamped again,the heart was reperfused with4:1warm-cool blood cardioplegia(hypokalemia)until cardiac standstill,then with warm blood continuously,after the pa-tients regain the normal heart beat,the aortic was unclamped.RESULTS The heart recovered its beat automatically in all 9patients.CONCLUSION This is a effective mothod for the patients with difficulty in heart resuscitation during open heart surgery.

关 键 词：心脏直视手术 心脏瓣膜病 心肌保护 复苏 温血灌注 

分 类 号：R654.2[医药卫生—外科学]