Ferrari M
Klinik für Innere Medizin I, Friedrich-Schiller-Universität Jena, Jena, Germany.
Dtsch Med Wochenschr. 2009 Jul;134(28-29):1474-7. doi: 10.1055/s-0029-1225303. Epub 2009 Jul 1.
Mechanical circulatory support can be used in patients suffering from acute heart failure if conventional measures are inadequate to provide hemodynamic stabilization to avoid organ hypoperfusion. In addition to treating the underlying disease such measures therefore play an important role in emergency and intensive care medicine, resulting in a reduction of the high mortality in untreated cardiogenic shock from up to 80 % to 40 %. Novel minimally-invasive circulatory support systems may extend the spectrum of indications in the future.
如果传统措施不足以实现血流动力学稳定以避免器官灌注不足,机械循环支持可用于患有急性心力衰竭的患者。因此,除了治疗基础疾病外,这些措施在急诊和重症监护医学中发挥着重要作用,使未治疗的心源性休克高达80%的高死亡率降至40%。新型微创循环支持系统未来可能会扩大适应症范围。