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：梁永年[1] 陈亦江[1] 陈广明[1] 邵永丰[1] 骆金华[1] 吴延虎[1] 朱小鸾[1] 

机构地区：[1]南京医科大学第一附属医院心胸外科,江苏南京210029

出　　处：《中国体外循环杂志》2003年第4期237-238,共2页Chinese Journal of Extracorporeal Circulation

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半钾温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 9 patients with serious heart valve diseases with refractory cardiac resuscitation. METHODS In 9 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, then with warm blood continuously, after the patients regain the normal heart beat, the aortic was undamped. RESULTS The heart recovered its beat automatically in all 9 patients. CONCLUSION This is a effective method for the patients with difficulty in heart resuscitation during open heart surgery.

关 键 词：重症瓣膜病 心脏复苏困难 心肌保护 升主动脉 温血灌注 体外循环 

分 类 号：R654.2[医药卫生—外科学]