Jensen C, Hill C S
Crit Care Nurs Clin North Am. 1994 Mar;6(1):165-74.
Pharmacologic therapy is the primary intervention for congestive heart failure in children. When pharmacologic support is unsuccessful, however, the use of mechanical support is becoming more common. The use of intraaortic balloon counterpulsation, extracorporeal membrane oxygenation, ventricular assist devices, and abdominal compression devices in infants and children is increasingly becoming a viable option in pediatrics. Despite these advances, development of mechanical support for refractory CHF must continue for the development of ventricular assist devices and artificial hearts for infant and children as a bridge to transplant.
药物治疗是儿童充血性心力衰竭的主要干预措施。然而，当药物支持无效时，机械支持的使用正变得越来越普遍。在婴儿和儿童中使用主动脉内球囊反搏、体外膜肺氧合、心室辅助装置和腹部压迫装置在儿科正日益成为一种可行的选择。尽管有这些进展，但为难治性充血性心力衰竭开发机械支持仍必须继续，以便为婴儿和儿童开发心室辅助装置和人工心脏作为移植的桥梁。
