《Physiology Of Cardiac Surgery》求取 ⇩

Chapter Ⅰ．Hibernation and Induced Hypothermia3

Hibernation3

Induced Hypothermia4

1．Early Observations4

2．Military Research5

3．Hypothermia for Intracardiac Surgery7

The Nature of the Hypothermic Injury8

1．Cause of Anoxic Injuries during Cardiac Surgery under Hypothermia8

2．Biochemical Changes9

3．Histopathological Changes13

4．Physiopathological Changes14

Possible Subjects of Future Investigations16

1．Infant Mammals16

2．Autonomic Blockade18

3．Alcohol20

4．Epinephrine22

5．Quinidine22

6．Hypocalcemia23

7．Hypokalemia24

8．Acetylcholine24

9．Carbon Dioxide25

10．High Oxygen Tension27

Chapter Ⅱ．Extracorporeal Circulation28

Introduction28

Principle of Pump-Oxygenators30

1．Pumps30

2．Oxygenators31

Physiology of Total Body Perfusion36

1．Corpuscular Elements37

2．Blood Clotting38

3．Flow Rate38

4．Criteria of Adequate Perfusion40

Chapter Ⅲ．Extracorporeal Cooling47

Introduction47

Combination of Peripheral Cooling and Extracorporeal Circulation48

Cooling by Means of a Pump-Oxygenator49

1．Anesthesia49

2．Cannulation of Blood Vessels51

3．Blood Clotting52

4．Hematological Changes52

5．Blood Dilution53

6．Electrolytes54

7．Rate of Flow55

8．Temperature56

9．Ventricular Fibrillation59

10．Elective Cardiac Arrest61

11．Hypothermic Asystole65

12．Anoxic Tolerance of the Beating Heart65

13．Coronary Flow68

14．Gas Exchange71

15．Pulmonary Ventilation74

Outlook74