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我们使用主动脉内球囊反搏的个人经验。

Our personal experience with intra-aortic balloon pumping.

作者信息

Skotnicki S, Vincent J, Moulijn A, Lacquet L, Kuijpers P

出版信息

Acta Chir Belg. 1978 Jul-Aug;77(4):253-7.

PMID:706961
Abstract

Intra-aortic counterpulsation (IABP) was used in 64 patients because of: 1. Low output syndrome after open heart surgery. 2. Medical refractory cardiogenic shock. 3. Elective, preoperative in ischemic heart disease. 4. Extending myocardial infarction. 5. Evolving impending infarction. In the first group in 78% hemodynamic stabilization was achieved but the survival percentage was 46%. In cardiogenic shock the results were closely related to the duration of shock, but nevertheless survival rate was low (3 from 13 patients treated). IABP was also applied as elective, preoperative support in high risk patients with ischemic heart disease (unstable angine and poor left ventricular function). In this group the rate of perioperative myocardial infarction was lower than in overall material.

摘要

64例患者接受了主动脉内球囊反搏(IABP)治疗,原因如下:1. 心脏直视手术后低心排血量综合征。2. 药物治疗无效的心源性休克。3. 缺血性心脏病患者择期术前应用。4. 扩展性心肌梗死。5. 进展性濒死梗死。第一组中,78%的患者实现了血流动力学稳定,但生存率为46%。在心源性休克患者中,结果与休克持续时间密切相关,但生存率仍然很低(13例接受治疗的患者中有3例存活)。IABP还被用作缺血性心脏病高危患者(不稳定型心绞痛和左心室功能差)的择期术前支持。在这组患者中,围手术期心肌梗死发生率低于总体病例。

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