Comparison of cold blood and cold crystalloid cardioplegia on myocardial protection effects in valve replacement surgery
- VernacularTitle:冷血与冷晶体停跳液在瓣膜置换术中心肌保护效果的比较
- Author:
Yingqi XU
;
Sanqing JIN
;
Ying XIAO
;
Xi ZHANG
;
Jianping YAO
- Publication Type:Journal Article
- Keywords:
Cardioplegic solution;
Heart valve prosthesis implantation;
Myocardium;
Cardiac surgical procedures
- From:
Journal of Chinese Physician
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the myocardial protection effects of cold blood cardioplegia and cold crystalloid cardioplegia in patients undergoing valve replacement surgery.Methods One hundred adult patients with cardiac function Ⅱ～Ⅲ class undergoing primary elective valve replacement surgery due to rheumatic heart disease were retrospectively analyzed.For patients with cardiac arrest,cold blood cardioplegia was applied to 50 cases(Group B),and cold crystalloid cardioplegia to the others(group C).The process of heart resuscitation,the postoperative need of dopamine,the blood pressure and heart rate,the postoperative level of serum myocardial enzyme,the intensive care unit(ICU) stay after operation were collected and statistically analyzed.All the cardioplegic solution was perfused in a similar manner and topical cooling was employed simultaneously.Results There were less cases in group B than in group C who needed isoprenaline for cardiac resuscitation after clamp removal(P0.05).Conclusion The cold blood cardioplegia and cold crystalloid cardioplegia have similar myocardial protection effects on rheumatic heart disease patients with cardiac function Ⅱ～Ⅲ class undergoing valve replacement surgery.
