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为探讨缺血性室颤和再灌注室颤的发生率究竟谁高谁低,作者在麻醉后的在体猪心上共进行了127次不同程度、不同时间的缺血及缺血后再灌注实验。结果共发生室颤13次,室颤发生率为10.2%,其中缺血性室颤11次,占85%,再灌注室颤2次,占15%。此结果表明,在本实验条件下,室颤主要由缺血引起,再灌注室颤只占15%。本实验中,2例缺血性室颤在未充分恢复再灌前,直流电除颤失败,而在恢复再灌后,所有室颤皆经直流电除颤恢复窦性心律,提示充分恢复再灌对电击除颤治疗可能是有益的。
In order to investigate whether the incidence of ischemic ventricular fibrillation and reperfusion fibrillation who who is high or low, the author carried out in the hearts of anesthetized pigs in vivo 127 different degrees of ischemia and ischemia at different times of reperfusion experiment. Results A total of 13 ventricular fibrillation occurred, the incidence of ventricular fibrillation was 10.2%, of which 11 were ischemic ventricular fibrillation, 85%, ventricular fibrillation 2 times, accounting for 15%. This result indicates that under this experimental condition, ventricular fibrillation is mainly caused by ischemia and reperfusion fibrillation accounts for only 15%. In this experiment, two cases of ischemic ventricular fibrillation in the inadequate recovery before reperfusion, the defibrillation failed, and after the restoration and reperfusion, all ventricular fibrillation were DC defibrillation to restore sinus rhythm, suggesting full recovery of reperfusion Shock defibrillation therapy may be beneficial.