Moroney D A, Powers K
Saint Louis University Health Sciences Center, Mo., USA.
Am J Crit Care. 1997 Sep;6(5):355-62.
Improvements in technology and in the selection, care, and treatment of patients have led to wider clinical use of mechanical circulatory support. Considerable progress has been made with the use of left ventricular assist devices. Patients are currently maintained in outpatient facilities until a donor heart becomes available; recently, left ventricular assist devices have started to be used as permanent implants. This article outlines the steps that are taken to prepare the patient, the patient's family, and the medical staff for discharge from the hospital of a patient supported with a left ventricular assist device. Extensive technical and clinical training of the primary caregiver and the patient is required to prepare for discharge from the hospital. Data are rapidly accumulating that show that left ventricular assist devices are safe and efficacious for outpatient use. Similar success is expected in clinical trials of permanent left ventricular assist devices, suggesting that many more patients will benefit from this technology in the future.
技术的进步以及患者选择、护理和治疗方面的改善，使得机械循环支持在临床上得到了更广泛的应用。左心室辅助装置的使用取得了显著进展。目前，患者在门诊设施中维持治疗，直到有供体心脏可用；最近，左心室辅助装置已开始用作永久性植入物。本文概述了为使用左心室辅助装置支持的患者出院而对患者、患者家属和医务人员所采取的准备步骤。为出院做准备需要对主要护理人员和患者进行广泛的技术和临床培训。越来越多的数据表明，左心室辅助装置用于门诊是安全有效的。预计永久性左心室辅助装置的临床试验也会取得类似成功，这表明未来会有更多患者受益于这项技术。
