St.Thomas NO.2停跳液与含血心肌停跳液对未成熟兔心肌的保护作用
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Protective Effects of St. Thomas NO.2 Cardioplegia and Blood Cardioplegia in Protecting Myocardium of Immature Rabbit Hearts
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    摘要:

    比较观察St.ThomasNO .2停跳液与含血心肌停跳液对未成熟兔心肌的保护作用,以期为未成熟心肌保护的临床应用找到一种更有效的方法。选用生后14~2 1天新西兰兔12只,在改良的Langendorff模型上,对St.ThomasNO .2停跳液及含血心肌停跳液分别进行低温缺血再灌注离体心脏实验。观察缺血前后心功能变化(左心室最大压力变化速率、左心室搏出功、左心室搏出功指数及心输出量等指标)、心肌含水率及心肌酶学的变化。结果发现,离体心脏缺血再灌后,含血心肌停跳液组左心室最大压力变化速率、左心室搏出功、左心室搏出功指数和心输出量等心功能指标恢复明显好于St.ThomasNO .2停跳液组(P<0 .0 5 ) ;含血心肌停跳液组心肌肌酸激酶及乳酸脱氢酶漏出率与St.ThomasNO .2停跳液组相比明显降低(P<0 .0 5 ) ;但两组心肌含水率无明显差异。结果提示,初步证实含血心肌停跳液对未成熟心肌的心肌保护效果比St.ThomasNO .2停跳液效果好

    Abstract:

    Aim To evalute the protective effects of St. Thomas NO.2 cardioplegia and blood cardioplegia in protecting myocardium of immature rabbit hearts from ischemic reperfusion injury. Methods On modified Langendorff apparatus, 12 isolated hearts of 14~21 d immature rabbit were divided in two groups randomly: St.Thomas NO.2 cardioplgeia and blood cardiplegia and subjected to 2 h of ischemia and 1 h of reperfusion. The preischemia and postischemia myocardial function were assessed by the percentage recovery of left ventricle function, myocardial water content, and the leakage of myocardial enzyme. Results Postischemic recovery of left ventricle function were significantly better in blood cardiplegia group than in St.Thomas NO.2 cardioplgeia group, and St. Thomas NO.2 cardioplgeia group had higher percentage of leakage of myocardial enzyme. But there were no differences in myocardial water content. Conclusion The blood cardioplegia can provide better myocardial protection for immature rabbit hearts than the St. Thomas NO.2 cardiolplegia.

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冯耀光,胡建国. St. Thomas NO.2停跳液与含血心肌停跳液对未成熟兔心肌的保护作用[J].中国动脉硬化杂志,2004,12(1):47~49.

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  • 收稿日期:2003-05-30
  • 最后修改日期:2003-12-29
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