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心脏跳动中二尖瓣置换术后心功能恢复初探

RECOVERY OF HEART FUNCTION AFTER MI-TRAL VALVE REPLACEMENT IN BEATING HEART

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【作者】 何巍周华富覃家锦温仁祝梁汉雄况竹生李荣世方国威朱立健彭青云

【Author】 He Wei, Zhou Huafu, Qin Jiajing, et al (Department of Cardiac Surgery,The First Affiliated Hospital Guangxi Medical University)

【机构】 广西医科大学第一附属医院胸外科!南宁530021广西区人民医院胸外科广西区南溪山医院胸外科柳州市工人医院胸外科南宁第三人民医院胸外科

【摘要】 对28例风心和先心二狭二闭,或合并主狭主闭的患者,施行了在浅低温(31~35℃)体外循环心跳中二尖瓣置换术,观察其心功能恢复状况,结果心跳组术后24h的平均动脉压(MAP)比心停组高,心跳组术后24h中多巴胺的用量比心停组少,统计学检验差异显著(P<0.005)。我们认为心跳组的心肌保护效果比心停组好。

【Abstract】 Cardiac operation in 28 patients with rheumatic and congenital MI, MS, or complicated with AI, AS, MVR was performed in beating heart under shallow hypothermic (32 ±1℃) extracorporeal circulation.The recovery of cardiac function was observed. The mean ar-terial blood pressure during 24h after operation in the heart beating group is highter than the heart arrest group. The dosage of dopamine used during 24h after operation in the heart beating group is significantly lesser than the heart arrest group (P<0.005).The results show that myocardial preservation of the heart beating group is better than the heart arrest group.

【基金】 广西区教委资助;卫生厅自然科学课题
  • 【文献出处】 广西医科大学学报 ,Journal of Guangxi Medical University , 编辑部邮箱 ,1995年04期
  • 【分类号】R654.2
  • 【被引频次】4
  • 【下载频次】12
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