Intermittent antegrade tepid versus cold blood cardioplegia in elective myocardial revascularization.

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类别 Primary study
期刊The Annals of thoracic surgery
Year 1998
連結 Pubmed, DOI

此文章收錄於 2 Systematic reviews Systematic reviews (2 references)

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背景：血停的理想温度仍存在争议。
方法：谁需要选修心肌血运重建术的患者52例进行前瞻性随机接受间歇顺行不温不火（29度C; T组，25例）或冷（4℃，C组，27例）血停搏液。
结果：所有术前和术中的变量的两个同伙。平均间隔温度较高，T，T组（29.6度+ / - 1.1摄氏度与17.5度+ / - 3.0摄氏度，P <0.0001）。T组再灌注后，尽管类似的氧摄取（P <0.05）显​​着更大的乳酸和酸释放。肌酸激酶-MB同工酶释放显着低于T组（764 + / - 89与1120 + / - 141üXH / L，P <0.04）。容积负荷，改善左室功能，12小时，心不温不火的停搏液保护表现出显着增加射血分数和需求减少术后正性肌力药物（P <0.05）。钳去除心室除颤后的频率是较低的，在这个世代（P <0.05）。有没有医院的死亡，两组在术后的课程。
结论：间歇性顺行不温不火的血停搏液心肌保护是一种安全，有效的方法，并演示相比，冷血停搏液对选修心肌血运重建术的优势。
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Epistemonikos ID: 3286a430979b4d2ec84daaac8ca1d1df375a8395
First added on: Feb 02, 2013
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