Igo S R, Hibbs C W, Trono R, Fuqua J M, Edmonds C H, Leachman C J, Brewer M A, Holub D A, Norman J C
Artif Organs. 1978 Aug;2(3):249-56. doi: 10.1111/j.1525-1594.1978.tb03461.x.
Intra-aortic balloon pumping to support the failing circulation is now an accepted therapeutic modality. The device is simple. Insertion can be accomplished rapidly and efficiently in emergency rooms, coronary care units, cardiac catheterization suites and operating rooms, preoperatively, intraoperatively and postoperatively. The hemodynamic effects are immediate and predictable, and the accruing clinical results show increasing survival and hospital discharge rates. In these institutions, mechanical support of the circulation by this and more advanced methods has been formalized within the responsibility of a Circulatory Support Service. The purpose of this report is to summarize some observations and analyses which have been made during care of 325 consecutive postcardiotomy and/or postinfarction cardiogenic shock patients. Historical, theoretical, basic, and applied aspects and current results are included. Foremost are the straightforward concepts of considering the heart as a pump, the failing heart as a failing pump and intra-aortic balloon pumping as a temporary intravascular, auxiliary pump, capable of stabilizing or reversing that failure if utilized early in its evolution.
主动脉内球囊反搏用于支持衰竭的循环，现已成为一种公认的治疗方式。该装置简单。在急诊室、冠心病监护病房、心导管室和手术室，术前、术中和术后均可迅速且高效地完成置入。血流动力学效应立竿见影且可预测，累积的临床结果显示生存率和出院率不断提高。在这些机构中，这种及更先进方法对循环的机械支持已在循环支持服务的职责范围内规范化。本报告的目的是总结在连续护理325例心脏术后和/或心肌梗死后心源性休克患者过程中所做的一些观察和分析。内容包括历史、理论、基础和应用方面以及当前结果。首要的是一些简单的概念，即将心脏视为一个泵，衰竭的心脏视为一个衰竭的泵，而主动脉内球囊反搏视为一个临时的血管内辅助泵，如果在其发展早期使用，能够稳定或逆转这种衰竭。
