Cohen S I, Weintraub R M
Arch Surg. 1975 Jan;110(1):116-7. doi: 10.1001/archsurg.1975.01360070116020.
A 56-year old man suffered severe gastrointestinal tract bleeding five days following an anterior myocardial infraction. Nonoperative treatment consisting of gastric lavage, selective angiographic procedures on the gastric arteries with intra-arterial vasopressin injection (Pitressin), and massive blood replacement over a five-day period failed to halt hemorrhage. Institution of intra-aortic balloon pumping reversed the patient's hemodynamic deterioration and made possible a definitive operation. The successful outcome in this patient suggests that counterpulsation may play a useful role in lowering the formidable surgical mortality observed in patients with acute myocardial injury who require emergency noncardiac operations.
一名56岁男性在急性前壁心肌梗死后五天出现严重胃肠道出血。采用洗胃、胃动脉选择性血管造影术并动脉内注射血管加压素（垂体后叶素）以及在五天内大量输血的非手术治疗未能止血。主动脉内球囊反搏术改善了患者的血流动力学恶化状况，并使确定性手术成为可能。该患者的成功治疗结果表明，反搏术在降低急性心肌损伤且需要紧急非心脏手术患者中所观察到的极高手术死亡率方面可能发挥有益作用。
