重症瓣膜手术心脏复苏困难与再次温血停跳的处理  

Management of Warm-Blood Induced Cardiac Arrest Again-A Reporte of 10 Cases of Serious Heart Valve Disease with Refractory Cardiac Resuscieation

作　　者：刘炜[1] 徐建军[1] 

机构地区：[1]江西医学院第二附属医院手术室,江西南昌330006

出　　处：《实用临床医学（江西）》2005年第10期71-73,共3页Practical Clinical Medicine

摘　　要：目的:总结10例重症瓣膜置换患者心脏复苏困难的成功处理经验,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置换患者,采用重新阻断升主动脉,行4∶1半钾或全钾温冷血停搏液诱停加纯温血持续灌注,待心脏完全静止后再开放升主动脉的方法。结果:10例重症瓣膜置换患者心脏复苏困难均自动复苏。结论:再次阻断升主动脉,行4∶1半钾或全钾温冷血停搏液诱停加纯温血(不含停搏液)持续灌注的处理,对于复苏困难的心脏具有较好的临床效果。Objective：To summarize 10 cases of serious heart valve disease with refractory cardiac resuscitation and explore a new method of myocardial protection. Methods：In 10 patients with repeated failed cardiac defibrillation, the aorta was cross-clamped again, the heart was reperfused with 4：1 warm-cool blood cardioplegia （hypokalemia） until cardiac standstill. After the patients regained normal heart beat, the avrtic was unclamped. Results： The heart recovered its beat automatically in all 10 patients. Conclusion： This is a effective method 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 复苏 温血灌注 

分 类 号：R654.2[医药卫生—外科学]