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成人心脏手术中应用国产心肌保护停跳液与进口HTK溶液心肌保护效果临床观察

李勇男 吉冰洋 刘铭月 闫姝洁 刘刚 滕媛 王茜 周纯 楼松 王惠

中国体外循环杂志2017,Vol.15Issue(4):208-211,4.
中国体外循环杂志2017,Vol.15Issue(4):208-211,4.DOI:10.13498/j.cnki.chin.j.ecc.2017.04.05

成人心脏手术中应用国产心肌保护停跳液与进口HTK溶液心肌保护效果临床观察

Observation of the myocardial protective effects of Cardioprotection and HTK solution in adult cardiac surgery

李勇男 1吉冰洋 2刘铭月 3闫姝洁 3刘刚 3滕媛 3王茜 3周纯 3楼松 3王惠3

作者信息

  • 1. 100032 北京,北京协和医学院国家心血管病中心中国医学科学院阜外医院体外循环科
  • 2. 730000 兰州,兰州大学第二医院 心脏外科
  • 3. 100032 北京,北京协和医学院 国家心血管病中心 中国医学科学院 阜外医院 体外循环科
  • 折叠

摘要

Abstract

Objective To assess the effects on myocardial protection of using Cardioprotection and HTK solution for adult car-diac surgery. Methods From February 2017 to April 2017, 40 valvular surgery cases were performed in our institute, including 20 ca-ses in Cardioprotection ( Hetkin) solution group and 20 cases in HTK( Custodiol) solution group. During cardiopulmonary bypass and after cardiac surgery, the primary endpoint was cardiac troponin I ( cTnI) levels. The second endpoints were creatine kinase ( CKMB) , postoperative 24 hours' lactate dehydrogenase (LDH), automatic rebeating rate, cardiopulmonary bypass time, clamping time, me-chanical ventilation time, intensive care unit time and hospital stay. Results The cTnI and CKMB levels were similar between the two groups. In the two groups, the cTnI, CKMB and LDH levels were not different after cardiac surgery. There was no difference in auto-matic rebeating rate between the two groups. There were no differences in the cardiopulmonary bypass time and clamping time. There were no differences in the time of mechanical ventilation, the duration of ICU and the length of hospital stay. Conclusion In adult car-diac surgery, the myocardial protective effects of Cardioprotection solution were similar to HTK solution.

关键词

缺血再灌注/心肌保护/心肌保护停跳液/HTK溶液

Key words

Ischemia reperfusion/Myocardial protection/Cardioprotection solution/HTK solution

引用本文复制引用

李勇男,吉冰洋,刘铭月,闫姝洁,刘刚,滕媛,王茜,周纯,楼松,王惠..成人心脏手术中应用国产心肌保护停跳液与进口HTK溶液心肌保护效果临床观察[J].中国体外循环杂志,2017,15(4):208-211,4.

中国体外循环杂志

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