IABP在冠心病外科治疗中的应用体会

Application experience of IABP in the surgical treatment of coronary heart disease

目的探讨在冠心病外科治疗中应用主动脉内气囊反搏（IABP）进行循环支持的时机、效果及经验。方法25例冠心病外科治疗患者分别于术前、术中、术后给予IABP进行循环支持治疗。术后严密监测各项循环功能指标及血管活性药物用量。结果痊愈16例，死亡9例，救治成功率64％。在死亡的9例中重症低心排导致其后的多脏器衰竭是其主要死亡原因。结论把握判断IABP应用时机，及时果断地尽早应用IABP进行循环支持，能有效提高重症冠心病外科治疗患者的手术生存率。

Objective To explore the time, the effect and experiences of intra-aortic balloon pump（IABP） in the surgical treatment of coronary heart disease. Methods 25 cases of surgical treatment in patients with coronary heart disease accepted IABP preoperative, intraoperative and postoperative for the circulatory supporting. The various indicators of circulatory function and vasoactive drug usage were closely monitored. Results 16 cases cured, 9 cases died, where the success rate was 64%. In nine cases of death, severe low cardiac output leading to subsequent multiple organ failure was the main cause of death. Conclusion Timely and decisively application of IABP can improve the surgery survival rate of severe coronary heart.