摘要
目的探讨高危心脏病病人围手术期应用主动脉内球囊反搏(IABP)的疗效。方法分析1998年1月至2002年9月293例应用IABP的围手术期心脏病病人资料。结果本组治愈179例,死亡114例,总病死率38·91%;其中冠心病病死率35·87%(94/262例),非冠心病病死率64·52%(20/31例)。术前应用IABP的冠心病者病死率17·24%(5/29例),明显低于术中和术后开始应用IABP的冠心病者病死率36·47%(62/170例)和42·86%(27/63例)。结论IABP是一种安全、行之有效的循环辅助方式,术前应积极应用,在高危冠心病病人中可以明显提高治疗效果。
Objective To discuss the indication and application of intra-aoctic balloon pump (IABP) in high-risk patients undergoing cardiac operations. Methods Analyzed 293 patients undergoing cardiac operation with application of IABP perioperatively from Jan. 1998 to Sep. 2002. Results The total mortality was 38.91% ( 114/293), the mortality in coronary heart disease patients was 35.87 % (94/262) while in noncoronary heart disease patients was 64.52 % (20/31 ). In coronary heart disease patients, with the use of IABP preoperatively, the mortality was much lower than those using IABP during were or postoperatively (36.47%, 42.86% respectively). Conclusion IABP was a safety and effective mode of circulation support. It is beneficial to begin the use of IABP preoperatively in high-risk coronary heart disease patients.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2006年第4期225-227,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
主动脉内球囊泵
心脏外科手术
手术期间
Intra-aoctic balloon pumping Cardiac surgical procedures Intraoperative period