期刊文献+

主动脉内球囊反搏治疗急性心肌梗死合并心源性休克21例 被引量:2

下载PDF
导出
摘要 目的评价主动脉内球囊反搏(intra-aortic ballooncounter pulsation,IABP)在急性心肌梗死合并心源性休克患者治疗作用。方法回顾性分析心肌梗死伴有心源性休克21例,比较IABP治疗前后舒张压、平均动脉压和心脏指数,分析IABP的疗效。结果应用IABP30min后,舒张期反搏压达到60~130mmHg(1mmHg=0.133kPa),心脏指数从(1.61±0.23)L/(min·m2)上升至(2.31±0.21)L/(min·m2)(P<0.001),平均动脉压从(48±16)mmHg升至(85±25)mmHg(P<0.01),临床症状明显好转,血流动力学显著改善。死于心源性休克或多器官衰竭各2例。结论IABP显著地增加急性心肌梗死合并心源性休克患者的冠状动脉血流,减轻心脏后负荷,改善心肌氧供需平衡,增加心输出量。
出处 《岭南心血管病杂志》 2008年第4期266-267,共2页 South China Journal of Cardiovascular Diseases
  • 相关文献

参考文献9

  • 1RAFERTY K M. Intra-aortic balloon pump issues from a management perspective[J]. Crit Care Nuts Clin North Am, 1996, 8 (4): 459-463.
  • 2OHMAN E M C, GEORGE B S, WHITE C J. Use of aortic counterpulsation to improve sustained coronary artery patency during acute myocardial infarction: results of a randomized trial[J]. Circulation, 1994, 90 (2): 792-799.
  • 3DEWOOD M A, BLOTSKE R N, HENSLEY G R. Intraaortic balloon counterpulsation with and without reperfusion for myocardial infarction shock[J]. Circulation, 1980, 61 (6) : 1105-1112.
  • 4ISHIHARA M, SATO H, TATEISHI H. Intra-aortic balloon pumping as the postangioplasty strategy in acute myocardial infarction[J]. Am heartJ, 1991, 122 (1): 385-389.
  • 5陆东风,熊龙根,刘世明,李国强,原萧,梁慧心,温利芳.急性心肌梗死合并心源性休克的经皮冠状动脉介入治疗及主动脉球囊反搏治疗疗效[J].中国介入心脏病学杂志,2003,11(5):267-269. 被引量:32
  • 6TOMHIANA D F, HIRSCH G, MORTIMER J, et al. Intraaortic Ballon Pumping for cardiac support: trends in practice andoutcome, 1968 to 1995[J]. JThoraeCardiovaseSurg, 1997, 113 (4): 758-769.
  • 7CHRISTENSON J T, SIMONET F, BADEL P, et al. Optimal timing of preoperativeintra-aortic ballon pump support in high risk coronary patients[J]. Ann Thorac Surg, 2001, 71 (4) : 1400-1401.
  • 8KOSUGA K, TAMAI H, UEDA K, et al. Initial mid longterm results of an gioplasty in unprotected left main coronary artery[J]. Am J Cardiol, 1999, 83 (1): 32-37.
  • 9QUIGLEY R L, MILANO C A, SMITH R, et al. Prognosis and management of anterolateral myocardial infarction in patients with severe left main disese and eardiogenie shock: the left main shock syndrome[J]. Circulation, 1993, 88(2) : 65-70.

二级参考文献1

共引文献31

同被引文献3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部