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主动脉内球囊反搏及急诊血运重建治疗心肌梗死后心绞痛

Treatment of post-myocardial infarction angina by intra-aortic ballon pumping and emergency revascularization.

作者信息

Bardet J, Rigaud M, Kahn J C, Huret J F, Gandjbakhch I, Bourdarias J P

出版信息

J Thorac Cardiovasc Surg. 1977 Aug;74(2):299-306.

PMID:301968
Abstract

Twenty-one patients with postinfarction angina (2 to 15 days after acute myocardial infarction) unresponsive to medical therapy were treated by intra-aortic balloon pumping (IABP). Anginal pain and electrocardiographic (ECG) ST-segment changes were prevented in all patients. Coronary angiograms were obtained during IABP without complication and confirmed severe coronary artery disease. Of the four nonoperated patients, three had reinfarction and two died of cardiogenic shock. Seventeen patients underwent aorta-coronary bypass grafting, associated with aneurysmectomy in two patients and closure of a ventricular septal defect in one. Sixteen patients survived the operation. All survivors are in clinically improved condition and 14 are pain free from 9 to 28 months postoperatively, but three have mild heart failure.

摘要

21例梗死后心绞痛患者(急性心肌梗死后2至15天),药物治疗无效,接受了主动脉内球囊反搏(IABP)治疗。所有患者的心绞痛和心电图(ECG)ST段改变均得到预防。在IABP期间进行了冠状动脉造影,无并发症,并证实有严重冠状动脉疾病。4例未手术患者中,3例发生再梗死,2例死于心源性休克。17例患者接受了主动脉-冠状动脉旁路移植术,其中2例合并动脉瘤切除术,1例合并室间隔缺损修补术。16例患者手术存活。所有幸存者临床状况均有改善,14例术后9至28个月无疼痛,但3例有轻度心力衰竭。

相似文献

1
Treatment of post-myocardial infarction angina by intra-aortic ballon pumping and emergency revascularization.主动脉内球囊反搏及急诊血运重建治疗心肌梗死后心绞痛
J Thorac Cardiovasc Surg. 1977 Aug;74(2):299-306.
2
Intra-aortic balloon pumping in coronary artery disease.冠状动脉疾病中的主动脉内球囊反搏
Herz. 1979 Oct;4(5):397-409.
3
Refractory angina pectoris: follow-up after intraaortic balloon pumping and surgery.
Circulation. 1976 Dec;54(6 Suppl):III41-6.
4
Management of acute myocardial ischemia with intraaortic balloon pumping and coronary bypass surgery.
Circulation. 1978 Sep;58(3 Pt 2):I69-72.
5
[Emergency coronary artery bypass grafting for acute coronary syndrome with preoperative intraaortic balloon pumping; comparative surgical outcome and long-term results].[急性冠状动脉综合征术前主动脉内球囊反搏辅助下行急诊冠状动脉旁路移植术;手术结果及长期随访比较]
Kyobu Geka. 2003 Dec;56(13):1075-81; discussion 1081-4.
6
The role of aortic balloon pumping in postinfarction angina. A different perspective.
Circulation. 1980 Aug;62(2 Pt 2):I119-23.
7
[Short and intermediate term clinical outcome in patients with cardiogenic shock treated with aortic counterpulsation].[主动脉反搏治疗心源性休克患者的短期和中期临床结局]
G Ital Cardiol. 1996 Dec;26(12):1385-99.
8
[A case of postinfarction spontaneous angina: physiopathological study of the therapeutic effectiveness of intra-aortic balloon pumping].[一例心肌梗死后自发性心绞痛:主动脉内球囊反搏治疗效果的病理生理学研究]
G Ital Cardiol. 1983;13(3):197-200.
9
[Clinical experiences with intra-aortic balloon pumping].
Schweiz Med Wochenschr. 1982 Sep 11;112(37):1286-9.
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Predictors of perioperative mortality in patients with unstable postinfarction angina.心肌梗死后不稳定型心绞痛患者围手术期死亡率的预测因素
Circulation. 1988 Sep;78(3 Pt 2):I163-5.

引用本文的文献

1
Intra-aortic balloon pump (ΙΑΒΡ): from the old trends and studies to the current "extended" indications of its use.主动脉内球囊反搏(IABP):从过去的趋势和研究到当前其使用的“扩展”适应症
J Cardiothorac Surg. 2012 Dec 11;7:128. doi: 10.1186/1749-8090-7-128.
2
Percutaneous intraaortic balloon pumping: initial experience.
Intensive Care Med. 1982;8(3):143-7. doi: 10.1007/BF01693434.
3
The efficacy of medical stabilization prior to myocardial revascularization in early refractory postinfarction angina.心肌血运重建术前医学稳定治疗对早期难治性心肌梗死后心绞痛的疗效。
Ann Surg. 1983 Jan;197(1):91-8.
4
Mechanical circulatory assistance by intra-aortic balloon pumping for the treatment of cardiogenic shock.通过主动脉内球囊反搏进行机械循环辅助治疗心源性休克。
Intensive Care Med. 1978 Jan;4(1):29-33. doi: 10.1007/BF01683133.