[Effects of various forms of myocardial protection on cardiac function, metabolism, and blood flow (author's transl)].

P Klooker, B Hilse, U Mittmann, W Saggau, A Tanzeem, G J Weckler
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Abstract

The myocardial protective effect of two cardioplegic solutions was studied after an ischemic period of 2 h in eight dogs. Group I received a high potassium solution (St. Thomas Hospital) and group II a sodium withdrawal solution with high colloid osmotic pressure (Eppendorf solution). With the exception of a prolonged myocardial K+ washout (10 min) in group I, which was presumably responsible for fibrillation in the early reperfusion period, no major metabolic or perfusion differences between the two groups were observed. After 30 min of reperfusion, postischemic LV function (-43%) and O2 uptake (-43%) were equally reduced in both groups.

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[各种形式的心肌保护对心功能、代谢和血流的影响(作者译)]。
研究了8只狗缺血2 h后两种停搏液对心肌的保护作用。第一组给予高钾溶液(圣托马斯医院),第二组给予高胶体渗透压的钠停液(埃彭多夫溶液)。除了I组心肌K+冲洗时间延长(10分钟),这可能是导致再灌注早期纤颤的原因外,两组之间没有观察到主要的代谢或灌注差异。再灌注30min后,两组缺血后左室功能(-43%)和氧摄取(-43%)均降低。
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