冠状静脉窦逆行灌注的心肌保护方法的探讨  

The Study of Retrograde Coronary Sinus Cardioplegia on Myocardial Protection

作　　者：刘海霞[1] 孙建全[1] 刘建华[1] 李爱枝[1] 董培青[2] 

机构地区：[1]河南省胸科医院,河南郑州450003 [2]北京安贞医院体外循环科

出　　处：《中国体外循环杂志》2003年第2期98-99,共2页Chinese Journal of Extracorporeal Circulation

摘　　要：目的　总结我院开展冠状静脉窦逆行灌注心肌保护方法的临床效果。方法　重症心脏手术体外循环 (CPB) 2 16例CPB中进行逆灌 10 0例 (Ⅰ组 ) ,行主动脉根部顺行灌注 116例 (Ⅱ组 )。采用 4∶1氧合血停搏液。结果　Ⅰ组自动复苏为95例 ,Ⅱ组自动复苏 98例。OBJECTIVE The effect of myocardial protection of retrograde coronary sinus cardioplegia was summarized in our hospital during last three years. METHODS We divided 216 patients suffering from serious heart disease into two groups. Group I (100 cases) : retrograde coronary sinus cardioplegia was made for myocardial protection. Group II (116 cases) : aortic root cardioplegia was made for myocardial protection. The 4:1 oxygenated blood cardioplegia was adopted. RESULTS There were 95 cases recovering their heart beat automatically in group I. There were 98 cases recovering their heart beat in group II. CONCLUSIONS Retrograde coronary sinus cardioplegia had a better myocardial protection to the patients suffering from serious heart valve disease and coronary heart disease.

关 键 词：冠状静脉窦逆行灌注 心肌保护 重症瓣膜病 冠脉狭窄 冠脉搭桥 心脏手术 体外循环 

分 类 号：R654.1[医药卫生—外科学]