| 常温不停搏心内直视手术对术后心肌酶活性的影响 |
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| 引用本文： | 胡波,王国祥,王伟,钱伟民,张孝轩.常温不停搏心内直视手术对术后心肌酶活性的影响[J].徐州医学院学报,2001,21(5):399-400. |
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| 作者姓名： | 胡波 王国祥 王伟 钱伟民 张孝轩 |
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| 作者单位： | 徐州医学院附属医院胸心外科 |
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| 摘 要： | 目的观察常温心脏不停搏与冷停搏心内直视手术后心肌酶活性的变化,明确不停搏手术方法对心肌损伤的保护作用.方法40例心内直视手术病人随机分成常温不停搏和冷停搏2组,每组20例,分别于术前和术后20h测定心肌酶.结果2组术后心肌酶活性都升高,常温不停搏组低于冷停搏组,有显著性差异(P＜0.01).结论常温不停搏手术较冷停搏手术能降低心内直视手术患者AST、CK、LDH活性,减轻心肌损伤.
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| 关 键 词： | 不停搏 心内直视手术 心肌酶 |
| 文章编号： | 1000-2065(2001)05-0399-02 |
| 修稿时间： | 2001年5月14日 |
Myocardial enzymatic changes following open heart surgery on warm beating heart |
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| HU Bo,WANG Guo-xiang,WANG Wei,et al.Myocardial enzymatic changes following open heart surgery on warm beating heart[J].Acta Academiae Medicinae Xuzhou,2001,21(5):399-400. |
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| Authors: | HU Bo WANG Guo-xiang WANG Wei |
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| Abstract: | Objective Myocardial enzymatic changes after warm open heart surgery and cold cardioplegic open heart surgery were compared to evaluate the protective effects of warm beating open heart surgery on the myocardium.?Methods The 40 open heart surgery patients were divided into two groups ( n =20 each): on cold cardioplegic arrested hearts and on warm beating hearts. Serum myocardial enzymes were measured before surgery and 20 h after surgery.?Results The serum myocardial enzymes raised in both groups after surgery and the values were significantly higher in former group than in the other.?Conclusion The open heart surgery on warm beating hearts causes less increase in patients' serum AST, CK and LDH activities, offering better myocardial protection than that on cold arrested hearts. |
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| Keywords: | heart beating open heart surgery serum myocardial enzymes |
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