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find Keyword "心肌超微结构" 3 results
  • Protection Effect of Isolated Ischemic Heart by Polyethylene Glycolbovine Hemoglobin Solution

    Objective To investigate the effect of polyethylene glycolbovine hemoglobin (PEG-bHb), which was used as an oxygen carrier in cardioplegic solution, on the protection of isolated rat hearts. Methods The hearts of 32 male SD rats were harvested and transferred to Langendorff circuit. They were divided into 4 groups according to cardiocplegia: St.Thomas group (group A), 1∶2 PEG-bHb group (group B), 1∶4 PEG-bHb group (group C) and 1∶8 PEG-bHb group (group D). After 20min balance period, hearts were perfused with cold (4℃) cardioplegic solutions, and preserved at 30℃ for 60min, then reperfused. Levels of cardiac troponin I (cTn I) and adenosine triphosphate(ATP) contant in coronary effuent were detected, and ultrastructures of myocardium were observed. Results After reperfusion, cTn I contant of group A were higher (F=52.955,Plt;0.05) and ATP contant were lower (F=68.757,Plt;0.05) than those in group B, group C and group D. Myocardial water contant were lower in group B and group C(F=3.048,Plt;0.05). Conclusion PEG-bHb in cardioplegic solutions can provide better myocardial protection during ischemia.

    Release date:2016-08-30 06:09 Export PDF Favorites Scan
  • 心脏不停跳手术患者心肌线粒体变化的观察

    目的 观察心脏不停跳手术患者心肌线粒体形态及量化计分情况 ,探讨其对心肌的保护效果。 方法 16例二尖瓣置换术患者按不同的术式分为心脏不停跳组和心脏停搏组。分别于上、下腔静脉 (心脏不停跳组 )或主动脉 (心脏停搏组 )阻断前 ,阻断 6 0 min和开放后 2 0 min取心肌标本 ,在透射电子显微镜下观察线粒体形态并进行量化计分。 结果 上、下腔静脉或主动脉阻断前两组心肌线粒体计分差别无统计学意义 (Pgt;0 .0 5 ) ;阻断 6 0 min和开放后 2 0 min心脏停搏组心肌线粒体计分均高于心脏不停跳组 (Plt;0 .0 1) ,心脏不停跳组心肌超微结构优于心脏停搏组。结论 浅低温心脏不停跳手术可减轻心肌缺血 -再灌注损伤 ,有较好的心肌保护作用。

    Release date:2016-08-30 06:24 Export PDF Favorites Scan
  • 逆行性灌注浅低温氧合血心脏不停跳与冷血心脏停搏液对cTn I的影响

    目的 对比研究逆行性灌注浅低温氧合血心脏不停跳与低温冷血心脏停搏液对外周血清心肌肌钙蛋白I(cTn I)的影响. 方法 将18例双瓣膜置换术患者分为心脏不停跳组和心脏停搏组,观察围手术期外周血清cTn I、肌酸激酶(CK)、肌酸激酶同工酶(CK-MB)及主动脉阻断前后用透射电子显微镜观察心肌超微结构变化.结果 心脏不停跳组主动脉开放后各个时相点CK虽略低于心脏停搏组,但差别无显著性意义(Pgt;0.05);主动脉开放后6小时CK-MB明显低于心脏停搏组(Plt;0.05),主动脉开放后各个时相点心脏不停跳组cTn I明显低于心脏停搏组(Plt;0.05).两组患者主动脉阻断前心肌超微结构均有轻度改变,主动脉阻断90分钟心脏停搏组心肌超微结构损伤较心脏不停跳组明显. 结论 逆行性灌注浅低温氧合血心脏不停跳围手术期外周血清cTn I较低,可能与该方法使体外循环期间发生不可逆损伤的心肌细胞较少,心肌超微结构损伤较轻有关.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
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