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心肌梗死后使用主动脉内球囊反搏进行长期循环支持。

Prolonged circulatory support with the intra-aortic balloon pump after myocardial infarction.

作者信息

Disler P B, Scott Millar R N, Obel I W

出版信息

Thorax. 1978 Aug;33(4):504-7. doi: 10.1136/thx.33.4.504.

Abstract

Circulation was supported by intra-aortic balloon counterpulsation for 30 and 38 days respectively in two patients with cardiogenic shock after acute myocardial infarction. One was flown 1400 km to Cape Town for heart transplantation but died after being weaned from the pump while awaiting a suitable donor. The other underwent successful surgical closure of a ruptured ventricular septum on the 30th day, allowing time for the edges of the ventricular septal defect to fibrose. Neither significant damage to circulating blood elements nor infection occurred, confirming the feasibility of prolonged circulatory support.

摘要

两名急性心肌梗死后心源性休克患者分别接受主动脉内球囊反搏支持循环30天和38天。其中一名患者被空运1400公里至开普敦进行心脏移植,但在等待合适供体期间撤机后死亡。另一名患者在第30天成功进行了室间隔破裂修补手术,使室间隔缺损边缘有时间纤维化。未发生循环血液成分的显著损伤或感染,证实了长时间循环支持的可行性。

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