Nezić D, Perić M, Knezević A, Radomir B, Jović M, Kapelak B, Bojić M
Institut za kardiovaskularne bolesti Dedinje, Beograd.
Acta Chir Iugosl. 2001;48(1):59-64.
The concept of artificial circulatory support has been established almost 200 years ago. It has only been within the last four decades that physicians and engineers have developed mechanical assist devices that can temporarily support the circulation until the native heart recovers from a reversible injury. If the heart does not recover sufficient function to maintain adequate hemodynamics, long-term circulatory support or permanent replace (biologically--heart transplant or permanent mechanical circulatory support) is needed. In this paper we describe the devices (intraaortic balloon pump, roller, centrifugal and axial pumps), that are in current clinical use for temporary (short-term) mechanical circulatory support.
人工循环支持的概念大约在200年前就已确立。直到最近四十年,医生和工程师才开发出机械辅助装置,这些装置可以暂时支持循环,直到心脏从可逆性损伤中恢复。如果心脏没有恢复足够的功能来维持足够的血流动力学,则需要长期循环支持或永久性替代(生物性——心脏移植或永久性机械循环支持)。在本文中,我们描述了目前临床上用于临时(短期)机械循环支持的装置(主动脉内球囊泵、滚压泵、离心泵和轴流泵)。