首页> 外国专利> METHOD FOR PREDICTING DEVELOPMENT OF POST-PERFUSED HEART FAILURE IN DIRECT MYOCARDIAL REVASCULARIZATION SURGERY WITH ARTIFICIAL CIRCULATION IN ADULT PATIENTS

METHOD FOR PREDICTING DEVELOPMENT OF POST-PERFUSED HEART FAILURE IN DIRECT MYOCARDIAL REVASCULARIZATION SURGERY WITH ARTIFICIAL CIRCULATION IN ADULT PATIENTS

机译:人工循环直接预测心肺复苏术中灌注后心脏衰竭发生的方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, particularly to anesthesiology-resuscitation, and can be used to predict the development of post-perfused heart failure (PPHF) in the direct myocardial revascularization with artificial circulation (AC) in adult patients. Preoperatively, the age, the left ventricle ejection fraction and the weight-weight data of the patient are determined. Intraoperatively, after a catheterization of the coronary sinus of the heart, a blood sample is taken from the coronary sinus. In the blood sample, the levels of lactate-pyruvate ratio, alanine, glutamate, glutamine, aspartate, asparagine, leucine, isoleucine and serine are determined. Determine the value of f by the mathematical formula. Depending on the obtained value of f, the development of PPHF is predicted.;EFFECT: method allows intraoperatively with high accuracy to predict the development of PPHF in the course of direct revascularization of the myocardium with AC by taking into account the metabolic status of the patient's myocardium, and to strengthen the degree of protection of the myocardium in the intra- and post-perfusion period.;1 cl, 2 ex
机译:发明领域本发明涉及医学,特别是涉及麻醉学的复苏,并且可用于预测成年患者通过人工循环(AC)直接进行心肌血运重建中的灌注后心力衰竭(PPHF)的发展。术前确定患者的年龄,左心室射血分数和体重重量数据。术中,在对心脏冠状窦进行导管插入后,从冠状窦中采集血液样本。在血液样本中,测定乳酸与丙酮酸之比,丙氨酸,谷氨酸,谷氨酰胺,天冬氨酸,天冬酰胺,亮氨酸,异亮氨酸和丝氨酸的水平。通过数学公式确定f的值。取决于所获得的f值,可以预测PPHF的发生。效果:该方法可在术中通过考虑到AC的代谢状态,在术中以AC进行心肌直接血运重建过程中,以高精度预测PPHF的发生。患者的心肌,并在灌注后和灌注后加强心肌的保护程度。; 1 cl,2 ex

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