Nakano S, Kay J H, Zubiate P, Mendez A M, Vanstrom N
West J Med. 1976 Oct;125(4):263-5.
Intraaortic balloon pump (IABP) assist was employed in 36 patients after surgical operation for coronary artery disease. In 31 patients, the aid of IABP was required because cardiopulmonary bypass could not be terminated without it. In three of these patients, IABP assist was started before the surgical procedure because these patients were in cardiogenic shock due to myocardial infarction. In the remaining five patients, IABP assist was applied for refractory cardiogenic shock in the early postoperative period. The overall survival rate was 58 percent. IABP assist was used in 13 patients with an ejection fraction of 0.1 to 0.2 (normal 0.7). Nine of these patients survived. From our experience, it would appear that this temporary mechanical circulatory support provides a significant advantage in saving patients who might otherwise die after surgical procedures involving the coronary artery.
36例冠心病手术后患者使用了主动脉内球囊反搏（IABP）辅助。其中31例患者，若不使用IABP则无法停止体外循环，因此需要其辅助。在这31例患者中，有3例在手术前就开始使用IABP辅助，因为这些患者因心肌梗死而处于心源性休克状态。其余5例患者在术后早期因难治性心源性休克而应用IABP辅助。总体生存率为58%。13例射血分数为0.1至0.2（正常为0.7）的患者使用了IABP辅助。其中9例患者存活。根据我们的经验，这种临时机械循环支持在挽救那些可能在涉及冠状动脉的手术后死亡的患者方面似乎具有显著优势。
