Matsuwaka R, Sakakibara T, Shintani H, Yagura A, Yoshikawa M, Kodama K
Division of Cardiovascular Surgery, Osaka Police Hospital.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Nov;44(11):2006-10.
A total of 20 patients who developed cardiac arrest or severe cardiogenic shock were resuscitated with percutaneous cardiopulmonary support system (PCPS). The etiology of shock was acute myocardial infarction (n = 8), post-infarction left ventricular (LV) free wall rupture (n = 9) and others (n = 3). After successful resuscitation with PCPS, 17 patients underwent therapeutic interventions: either closure of an LV rupture (n = 9), coronary artery bypass grafting (n = 4), percutaneous transluminal angioplasty (n = 1) and percutaneous transluminal coronary recanalization (n = 1). Of the 20 patients, 17 were weaned from PCPS or standard cardiopulmonary bypass. Nine patients survived longer than 30 days and 6 patients were discharged from the hospital. In nine patients with LV free wall rupture, one could be discharged from the hospital. Even though our experience is still small in number, it can be concluded that cardiopulmonary resuscitation using PCPS improves survival in fatally ill patients.
共有20例发生心脏骤停或严重心源性休克的患者接受了经皮心肺支持系统（PCPS）复苏。休克的病因包括急性心肌梗死（8例）、心肌梗死后左心室（LV）游离壁破裂（9例）和其他原因（3例）。在PCPS成功复苏后，17例患者接受了治疗干预：包括LV破裂修补术（9例）、冠状动脉旁路移植术（4例）、经皮腔内血管成形术（1例）和经皮腔内冠状动脉再通术（1例）。20例患者中，17例脱离了PCPS或标准体外循环。9例患者存活超过30天，6例患者出院。9例LV游离壁破裂患者中，1例出院。尽管我们的经验数量仍然较少，但可以得出结论，使用PCPS进行心肺复苏可提高重症患者的生存率。
