心脏手术中心脏复苏困难的处理  

Treatment of Difficulty during Cardiac Resuscitation of Heart Surgery

作　　者：杨慧[1] 姜静[1] 秦巍[1] 

机构地区：[1]黑龙江省医院,黑龙江哈尔滨150036

出　　处：《黑龙江医学》2006年第1期1-2,共2页Heilongjiang Medical Journal

摘　　要：目的探讨再阻断控制性温血灌注在心脏复苏障碍时的应用。方法回顾性分析16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含血停搏液灌注心肌保护;②控制性温血再灌注方法:对5例主动脉开放后ST段抬高患者实施再次阻断升主动脉单纯温血灌注,7例发生心脏复苏困难患者给予再次阻断升主动脉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 discuss the application of reblock control warm blood perfusion in difficulty during cardiac resuscitation of heart surgery. Methods The clinical materials of 16 cases with difficulty during cardiac resuscitation of heart surgery were analyzed retrospectively. The control group was taken in moderate hypothermia and blood diluted with 4：1 cardioplegia perfusion to protecting heart. The observing group was taken re - block perfusion with control moderate re - perfusion for 5 cases of S - T segment changed after open aorta with simple warm blood peffusion and 7 cases with hyperkalemia cardioplegia peffusion after open aorta of difficulty of CR. Results All cases were departed with CPB smoothly. Conclusion The reblock control warm blood perfusion might be simple and effective method for the diffi- culty of CR of heart surgery.

关 键 词：心血管外科学 体外循环 控制性温血灌注 复苏困难 

分 类 号：R654.1[医药卫生—外科学]