文章摘要
宋晓春,章 淬,陈永铭,穆心苇.主动脉内球囊反搏(IABP)在重症冠脉搭桥术患者中的应用[J].南京医科大学学报,2010,(11):1626~1628
主动脉内球囊反搏(IABP)在重症冠脉搭桥术患者中的应用
Application of intra-aortic balloon pump in the serious patients undergoing coronary artery bypass grafting
投稿时间:2010-04-19  
DOI:10.7655
中文关键词: 主动脉内球囊反搏  冠状动脉搭桥术  左心室射血分数
英文关键词: intra-aortic balloon pump(IABP)  coronary artery bypass grafting(CABG)  left ventricular ejection fraction(LVEF)
基金项目:
作者单位
宋晓春 南京医科大学附属南京第一医院ICU,江苏 南京 210006 
章 淬 南京医科大学附属南京第一医院ICU,江苏 南京 210006 
陈永铭 南京医科大学附属南京第一医院ICU,江苏 南京 210006 
穆心苇 南京医科大学附属南京第一医院ICU,江苏 南京 210006 
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中文摘要:
      目的: 评价重症冠脉搭桥术患者应用主动脉内球囊反搏(IABP)治疗的效果?方法:31例重症冠脉搭桥术患者(左室射血分数LVEF≤40%)分别于术前放置球囊反搏导管,心脏复跳后行IABP辅助,对使用IABP前和停IABP前患者舒张压(DBP)?心输出量(CO)?尿量?血管活性药的剂量进行比较?结果:1例患者术后死于右心功能不全,病死率3.2%,其余患者于2~8天转出ICU;停用IABP前心输出量?舒张压和尿量均值明显高于使用IABP前均值;停用IABP前肾上腺素和多巴胺均值明显低于使用IABP前均值?结论:对重症冠脉搭桥术患者进行IABP辅助具有明显的循环支持效果,提高了重症冠脉搭桥术患者的手术成功率?
英文摘要:
      Objective: To estimate the therapeutic effect of intra-aortic balloon pump(IABP)on serious patients undergoing coronary artery bypass grafting. Methods:IAB catheters were inserted in the bodies of 31 serious patients undergoing coronary artery bypass grafting(LVEF≤40%) before operation and IABP worked after heart rebeating. Diastolic blood pressure,cardiac output,urine volume and dose of cardiovascular drugs were recorded before use and stopping of IABP. Results:Only one patient undergoing coronary artery bypass grafting died because of right heart insufficiency,and the total mortality was 3.2%.The other patients stayed in ICU for two to eight days. Diastolic blood pressure,cardiac output,urine volume before use of IABP were significantly lower than those before stopping of IABP. Dose of cardiovascular drugs before use of IABP was significantly higher than that before stopping of IABP. Conclusion:Application of IABP in the serious patients undergoing coronary artery bypass grafting can obstain good circulation support and elevate ratio of operation achievement.
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