| 重症瓣膜手术心脏复苏困难与再次温血停跳的处理 |
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| 引用本文： | 刘炜,徐建军.重症瓣膜手术心脏复苏困难与再次温血停跳的处理[J].实用临床医学(江西),2005,6(10):71-73. |
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| 作者姓名： | 刘炜 徐建军 |
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| 作者单位： | 江西医学院第二附属医院手术室,江西南昌330006 |
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| 摘 要： | 目的：总结10例重症瓣膜置换患者心脏复苏困难的成功处理经验．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置换患者，采用重新阻断升主动脉，行4：1半钾或全钾温冷血停搏液诱停加纯温血持续灌注，待心脏完全静止后再开放升主动脉的方法。结果：10例重症瓣膜置换患者心脏复苏困难均自动复苏。结论：再次阻断升主动脉，行4：1半钾或全钾温冷血停搏液诱停加纯温血（不含停搏液）持续灌注的处理，对于复苏困难的心脏具有较好的临床效果。
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| 关 键 词： | 心脏直视手术 心脏瓣膜病 复苏 温血灌注 |
| 文章编号： | 1009-8194（2005）10-0071-03 |
| 收稿时间： | 2005-05-27 |
| 修稿时间： | 2005年5月27日 |
Management of Warm-Blood Induced Cardiac Arrest Again-A Reporte of 10 Cases of Serious Heart Valve Disease with Refractory Cardiac Resuscieation |
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| Liu Wei,Xu Jian-jun.Management of Warm-Blood Induced Cardiac Arrest Again-A Reporte of 10 Cases of Serious Heart Valve Disease with Refractory Cardiac Resuscieation[J].Practical Clinical Medicine,2005,6(10):71-73. |
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| Authors: | Liu Wei Xu Jian-jun |
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| Abstract: | Objective:To summarize 10 cases of serious heart valve disease with refractory cardiac resuscitation and explore a new method of myocardial protection.Methods:In 10 patients with repeated failed cardiac defibrillation,the aorta was cross-clamped again,the heart was reperfused with 4:1 warmcool blood cardioplegia(hypokalemia) until cardiac standstill.After the patients regained normal heart beat,the avrtic was unclamped.Results: The heart recovered its beat automatically in all 10 patients.Conclusion: This is a effective method for the patients with difficulty in heart resuscitation during open heart surgery. |
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| Keywords: | open heart surgery heart valve disease resuscitation warmblood perfusion |
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