Good times or bad irrigation irrigation with warm blood before opening in valve replacement surgery.docVIP

 PAGE \* MERGEFORMAT 13 Good times or bad irrigation irrigation with warm blood before opening in valve replacement surgery Of: Zhao Yun, Hu Kejian, Cheng Yue, Luo Haiyan, Pengrun Sheng, Chen Jiali, Shi Yang, Wang Chunsheng [Abstract] Objective To study the good times or bad irrigation irrigation with warm blood before opening double valve replacement surgery in the application of the methods and results. Methods This double-valve replacement patients, 34 patients were divided into two groups: A group (with good or poor irrigation warm blood reperfusion group) 17 cases; B group (intermittent along irrigation group) in 17 cases. myocardial protection: A group (good or poor irrigation with warm blood reperfusion group) using antegrade perfusion the first 15 ~ 20 ml / kg 4:1 cold blood in cardioplegic solution, and then every 20 ~ 30 min retrograde perfusion 5 ~ 10 ml / kg cardioplegia, the aortic occlusion clamp release 5 ~ 8 min before the start until the opening of warm blood retrograde perfusion; B group (intermittent along irrigation group) the first time, antegrade perfusion with 15 ~ 20 ml / kg 4:1 cold blood in the cardioplegic solution, and then again every 20 ~ 30 min antegrade infusion 5 ~ 10 ml / kg cardioplegia. In the CPB start, after 2 h and 24 h were measured pumping blood cardiac troponin T (cTnT), creatine kinase (CK), creatine kinase isoenzyme (CKMB, CKMM) concentration. Results The smooth flow of transit, hemodynamic stability, monitoring indicators were within the normal range. good times or bad irrigation with warm blood reperfusion group, the average CPB time and aortic clamping time was (100.9 + -19.6) min and (65.6 + -13.4) min; discontinuous along The mean CPB time of filling and aortic clamping time was (99.1 + -19.8) min and (69.8 + -22.1) min. good times or bad irrigation with warm blood reperfusion group, 82% higher than the auto-resuscitation along intermittent irrigation group 47%. the two groups in the cTnT, CK, CKMB and CKMM