Hagemeijer F, Laird J D, Haalebos M M, Hugenholtz P G
Am J Cardiol. 1977 Dec;40(6):951-6. doi: 10.1016/0002-9149(77)90046-7.
Twenty-five patients with class III or class IV left ventricular failure (Myocardial Infarction Research Unit criteria) after a recent myocardial infarction were treated with intraaortic balloon pumping between December 1, 1972 and December 1, 1976. Three patients had no improvement and died during pumping. Two patients with improvement died during at attempt at weaning from circulatory assistance. Of 20 patients successfully weaned, 6 died within 3 months, 5 of these within 10 days after the weaning procedure. Of 14 patients who survived for more than 3 months, 13 were alive on February 15, 1977. Twelve of these 13 were in functional class II and 6 had resumed professional activities. Intraaortic balloon pumping proved an effective method for treating severe left ventricular failure after an acute myocardial infarction. Even withour surgery, 14 of 25 patients survived 3 or more months after an acute infarction complicated by serious pump failure.
1972年12月1日至1976年12月1日期间，对25例近期发生心肌梗死后出现Ⅲ级或Ⅳ级左心室衰竭（根据心肌梗死研究单位标准）的患者进行了主动脉内球囊反搏治疗。3例患者在治疗期间无改善并死亡。2例病情好转的患者在尝试撤离循环辅助时死亡。在20例成功撤离辅助的患者中，6例在3个月内死亡，其中5例在撤离操作后10天内死亡。在存活超过3个月的14例患者中，13例在1977年2月15日仍存活。这13例患者中有12例心功能为Ⅱ级，6例已恢复工作。主动脉内球囊反搏被证明是治疗急性心肌梗死后严重左心室衰竭的有效方法。即使不进行手术，25例患者中有14例在急性梗死并发严重泵衰竭后存活了3个月或更长时间。
