Paul Collison Sathiakar, Singh Dagar Kulbhusan
Department of Pediatric and Congenital Heart Surgery, Escorts Heart Institute And Research Centre, New Delhi, India.
Postgrad Med J. 2007 May;83(979):308-11. doi: 10.1136/pgmj.2006.053611.
Acute heart failure occurs in children following the operative correction of a congenital anomaly, as an acute change in a child with a congenital anomaly, or in a structurally normal heart with acute myocarditis. Acute heart failure in children justifies aggressive treatment because of the high potential for complete recovery. The options for providing mechanical support to the failing heart in a child include extracorporeal membrane oxygenation, left ventricular assist devices and the use of the intra-aortic balloon pump (IABP). The principles of intra-aortic balloon pump usage are described, and the literature regarding the indications and outcome of its use in children is reviewed.
急性心力衰竭发生于先天性畸形手术矫正后的儿童、患有先天性畸形的儿童出现急性病情变化时,或发生于结构正常但患有急性心肌炎的心脏。由于儿童急性心力衰竭完全恢复的可能性很大,因此有必要积极治疗。为儿童衰竭心脏提供机械支持的选择包括体外膜肺氧合、左心室辅助装置以及使用主动脉内球囊反搏(IABP)。本文描述了主动脉内球囊反搏的使用原则,并回顾了关于其在儿童中使用的适应症和结果的文献。