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Yu Zhi-hao余志豪Cong Liao-kai丛连凯Li Wei-cai李维才andTan Bing-bing谭兵兵Affil iated Hospital Zun''yi Medical Cot lege Guizhou 《中华医学杂志(英文版)》1988,101(8):571-578
The protective effect of preopcrativc high-doseinsulin on ischemic myocardium was studied in dogs.
Histochemical reaction, ultrastructure and water con
tent of the heart muscle, hemodynamic condition be-
fore and after restoration of the circulation were ob-
served. Dogs were divided into two groups and 5
mEq,L potassium cardioplegic solution was infused.
In the insulin group, insulin IO U;kgi'h, glucose
1 g,,'kg/h and potassium chloride 0.25 mEq/kg/h were
infused from the onset of anesthesia till aortic cross
clamping. The control group received the same in-
fusion but without insulin. All parameters suggested
moderate damage of heart muscle after 90 minutes
of ischemia in insulin group, which recovered to the
preischemic level completely 30 minutes after re
storation of circulation, while in the control group,
the ischemic damage was severe after 90 minutes of
cross-clamping, with delayed recovery even after 30
minutes of repcrfusion of the heart. The difference
between the two groups was statistically highly signi-
ficanL The experiment indicates that myocardial
protection is improved with high-dose insulin. 相似文献
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