心脏直视手术中的心脏复苏(附124例报告)  

The Cardiac Resuscitation in Open Cardiac Operation(124 Cases Report)

作　　者：廖永德[1] 张本固[1] 葛酉新[1] 赵金平[1] 严华[1] 陈夏丰[1] 

机构地区：[1]同济医科大学附属同济医院胸心外科,武汉430030

出　　处：《急诊医学》1995年第3期145-148,共4页

摘　　要：本文总结了124例心脏直视手术中心脏复苏的经验。实践表明，双手挤压法和中等剂量心脏兴奋剂更利于心脏手术中的心脏复苏；心肌出现粗颤即应尽早除颤，不宜片面追求较高的心脏自动复跳率。对复苏困难病例，依其不同情况，在常规复苏方法的基础上，可采用一些特殊复苏措施。应指出，有多种因素影响心脏直视手术中的心脏复苏，也应采用相应的综合性措施进行复苏。The cardiac resuscitation in open cardiac operation in 124 cases was studied inthis paper. The result showed that the cardiac massage with both hands and the administra-tion of cardiac excitomotor with moderate dose would be much more effective to the cardiacresuscitation in cardiac operation;and electric defibrillation should be taken when rough my-ocardial fibrillation appeared instead of waiting for spontaneous cardiac resuscitation. Specialmethods were taken when the cardiac resuscitation in open cardiac operation was difficult inaddition to conventional resuscitation methods. It should be pointed out that there were mul-tiple factors to control the cardiac resuscitation in open cardiac operation,so multiple resusci-tation methods should be taken on open cardiac operation correspondingly.

关 键 词：心脏复苏 复苏方法 肾上腺素 心脏外科手术 

分 类 号：R654.205[医药卫生—外科学]