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主动脉内球囊反搏在冠心病高危患者行非体外循环冠状动脉旁路移植手术中的应用 被引量：7

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摘要 目的探讨主动脉内球囊反搏(IABP)在冠心病高危患者行非体外循环冠状动脉旁路移植术(OPCABG)中的应用时机。方法本文前瞻性随机研究,选择我院2007年1月至2010年1月行OPCABG的冠心病高危患者60例,均分为主动性植入IABP组(A组)和常规处理组(B组)。比较两组患者的临床资料及预后。结果 B组正性肌力药物辅助时间、IABP使用时间、机械通气时间、住ICU时间、围术期死亡率及围术期心肌梗死发生率明显高于A组(P<0.05);而术后1年生存率明显低于A组(P<0.05)。结论主动性植入IABP可改善冠心病高危患者行OPCABG的预后。
作者 王辉 卢家凯 吕誉芳
机构地区 首都医科大学附属北京安贞医院麻醉科
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2012年第10期998-1000,共3页 Journal of Clinical Anesthesiology
关键词 主动脉内球囊反搏 非体外循环冠状动脉旁路移植术
分类号 R654.2 [医药卫生—外科学]
  • 相关文献

参考文献9

  • 1Gregoric ID, Poglajen G,Span M, et al. Percutaneous ventric-ular assist device support during off-pump, Surgical coronaryrevascularization. Ann Thorac Surg,2008^86(2) : 637-639.
  • 2Masoumi M, Saidi MR,Rostami F,et al. Off-pump coronaryartery bypass grafting in left ventricular dysfunction. AsianCardiovasc Thorac Ann, 2008,16(1) : 16-20.
  • 3Lorusso R,Gelsominos S,Carella R,et al. Impact of prophy-lactic intra-aortic balloon counter-pulsation on postoperativeoutcome in high-risk cardiac surgery patients: a multicentre,propensity-score analysis. Eur J Cardiothorac Surg, 2010,38(5):585-591.
  • 4Ngaage DL, Zehr KJ, Daly RC, et al. Off-pump strategy inhigh-risk coronary artery bypass reoperation. Mayo Clin Proc,2007,,82(5). 567-571.
  • 5Vohra HA,Bahrami T, Farid S, et al. Propensity score analy-sis of early and late outcome after redo off-pump and on-pumpcoronary artery bypass grafting. Eur J Cardiothorac Surg,2008,33(2): 209-214.
  • 6肖雅琼,杜心灵,孙宗全,肖诗亮,张凯伦,董念国.主动脉内球囊反搏在冠状动脉旁路移植术围术期的应用[J].中国胸心血管外科临床杂志,2007,14(3):228-229. 被引量：19
  • 7Lavana JD,Fraser JF,Smith SE,et al. Influence of timing ofintraaortic balloon placement in cardiac surgical patients. JThorac Cardiovasc Surg, 2010,140(1) :80-85.
  • 8Santarpino G, Onorati F,Rubino AS, et al. Preoperative in-traaortic balloon pumping improves outcomes for high-risk pa-tientvS in routine coronary artery bypass graft surgery. AnnThorac Surg,2009,87(2) :481-488.
  • 9邱志兵,陈鑫,徐明,蒋英硕,汪黎明,赵海鹏,肖立琼.IABP辅助下非体外循环冠状动脉旁路移植术治疗冠心病合并严重左心室功能不全[J].中国胸心血管外科临床杂志,2009,16(6):488-490. 被引量：8

二级参考文献25

  • 1肖雅琼,杜心灵,孙宗全,肖诗亮,张凯伦,董念国.主动脉内球囊反搏在冠状动脉旁路移植术围术期的应用[J].中国胸心血管外科临床杂志,2007,14(3):228-229. 被引量：19
  • 2Vohra HA, Briffa NP. Routine preoperative insertion of IABP in high-risk off-pump coronary artery bypass grafting. Heart Surg Forum, 2005,8(2) :E94- E95.
  • 3Goldstein DJ, Beauford RB, I.uk B, et al. Multivessel off pump revascularization in patients with severe left ventrieular dysfunction. Eur J Cardiothorae Surg, 2003, 24(1):72-80.
  • 4Patel NC, Grayson AD, Jackson M, et al. The effect off-pump coronary artery bypass surgery on in-hospital mortality and morbidity, Eur J Cardiothoracic Surg, 2002, 22(2):255- 260.
  • 5Jasinski MJ, Wos S, Olszowka P, et al. Dysfunction of left ventricle as an indication for off-pump coronary artery bypass grafting. Heart Surg Forum, 2003,6(6):E85-E88.
  • 6Nurozler F, Kutlu ST, Kucuk G. Off-pump coronary bypass for advanced left ventricular dysfunction. Cardiovasc J S Afr, 2007,18(1) :26-29.
  • 7Suzuki T, Okabe M, Handa M, et al. Usefulness of preoperative intraaortic balloon pump therapy during off-pump coronary artery bypass grafting in high-risk patients. Ann Thorac Surg, 2004,77(6) : 2056-2060.
  • 8Gulcan O, Turkoz R, Turkoz A, et al. On-pump/beating-heart myocardial protection for isolated or combined coronary artery bypass grafting in patients with severe left ventricle dysfunction: assessment of myocardial function and clinical outcome. Heart Surg Forum, 2005,8(3) :E178 -E183.
  • 9Kacila M, Granov N, Mujcic E, et al. IABP and off-pump revascularization as prefered method in curement of patients with "low eardiatic output" syndrome. Med Arh, 2006, 60 (3) : 205- 206.
  • 10Masoumi M, Saidi MR, Rostami F, et al. Off-pump coronary artery bypass grafting in left ventricular dysfunction. Ann Thorac Surg, 2007,83(5) : 1879-1881.

共引文献24

同被引文献106

  • 1凌云鹏,陈彧,陈生龙,江龙,沈冬焱,万峰.主动脉内球囊反搏在低射血分数患者非体外循环冠状动脉旁路移植术中应用的必要性探讨[J].中国微创外科杂志,2005,5(3):223-225. 被引量：14
  • 2肖雅琼,杜心灵,孙宗全,肖诗亮,张凯伦,董念国.主动脉内球囊反搏在冠状动脉旁路移植术围术期的应用[J].中国胸心血管外科临床杂志,2007,14(3):228-229. 被引量：19
  • 3赵铁夫,王盛宇,马涵英.老年患者心脏手术围手术期主动脉内球囊反搏的应用[J].中华老年心脑血管病杂志,2007,9(9):590-592. 被引量：7
  • 4Rasoul IA,Rezayat P.Outcome of Coronary Artery Bypass Grafts:Comparison between on Pump and off Pump[J].Acta Medica Iranica,2010,48(3):158-163.
  • 5Joskowiak D,Szlapka M,Kappert U,et al.Intra-aortic balloon pump implantation does not affect long-term survival after isolated CABG in patients with acute myocardial infarction[J].The Thoracic and cardiovascular surgeon,2011,59(7):406-410.
  • 6Miceli A,Duggan SM,Capoun R,et al.A clinical score to predict the need for intraaortic balloon pump in patients undergoing coronary artery bypass grafting[J].The Annals of Thoracic Surgery,2010,90(2):522-526.
  • 7Kogan A,Preisman S,Sternik L,et al.Heparin-free management of intra-aortic balloon pump after cardiac surgery[J].Journal of Cardiac Surgery,2012,27:434-437.
  • 8应少香.急性心肌梗死并心源性休克病人应用主动脉球囊反搏的疗效观察[J].中国保健营养(下旬刊),2014,(5):2431-2432.
  • 9Lundblad R,Abdelnoor M,Svennevig JL.Repair of left ventricular aneurysm:surgical risk and long term survival.Ann Thorac Surg,2003,76:719-725.
  • 10Sartipy U,Albage A,Lingblom D.The Dor procedure for left ventricular recon struction.Ten year clinical experience.Eur J Cardiothorac Surg,2005,27:1005-1010.

引证文献7

二级引证文献15

临床麻醉学杂志
2012年 第10期

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