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[临床实践中的反搏]

[Counterpulsation in clinical practice].

作者信息

Aronov A E, Bystrov V I, Golod V I, Gorodkov V G, Gorodkova E B

出版信息

Kardiologiia. 1982 Apr;22(4):69-74.

PMID:7077933
Abstract

A. N. Bakulev Institute of Cardiovascular Surgery, Academy of Medical Sciences of the USSR has 10 years of experience with counterpulsation in 209 patients with acute cardiac insufficiency. The main indications for assisted circulation were cardiogenic shock in 102 patients, myocardial infarction complicated by cardiac insufficiency in 43, cardiac insufficiency developing during or after cardiosurgical operations in 60 cases, prophylaxis of complications in high risk patients during intracardiac methods of investigation in 4 cases. The use of counterpulsation in 102 patients with post-infarction cardiogenic shock enabled the authors to liquidate the shock in half of the cases and to discharge 20% of the number from hospital. The study of peculiarities of shock enabled the authors to trace measures for decreasing mortality rate: use of counterpulsation as early as possible during transportation to hospital (29 cases), extension of indications for urgent surgery on the heart.

摘要

苏联医学科学院A.N.巴库列夫心血管外科研究所对209例急性心功能不全患者进行反搏治疗已有10年经验。辅助循环的主要适应证为:102例心源性休克,43例心肌梗死合并心功能不全,60例心脏手术期间或术后发生的心功能不全,4例心脏内检查高危患者并发症的预防。对102例心肌梗死后心源性休克患者使用反搏治疗,作者使半数病例的休克得到消除,并使20%的患者出院。对休克特点的研究使作者能够找出降低死亡率的措施:在送往医院途中尽早使用反搏治疗(29例),扩大心脏急诊手术的适应证。

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