Birtwell W C, Clauss R H, Dennis C, Harken D E, Soroff H S
Med Instrum. 1976 Sep-Oct;10(5):217-23.
Assisted circulation techniques are an outgrowth of extracorporeal pump oxygenator systems developed in the mid 1950s. But the differences in physiology of total perfusions and of parital perfusions for assisting circulation delayed the clinical application of the intra-aortic balloon. The problems and risks in providing circulation assistance and the approaches used to overcome them are discussed. The various counterpulsation techniques are described and data presented to demonstrate the increased survival in patients with myocardial infarction and cardiogenic shock.
辅助循环技术是20世纪50年代中期开发的体外泵氧合系统的产物。但是,用于辅助循环的全灌注和部分灌注在生理学上的差异延迟了主动脉内球囊的临床应用。本文讨论了提供循环辅助时存在的问题和风险以及用于克服这些问题的方法。描述了各种反搏技术,并给出数据以证明心肌梗死和心源性休克患者的生存率有所提高。