摘要
43例心内直视术后严重心力衰竭的患者应用主动脉内球囊反搏(IABP),17例治愈出院。本文讨论了IABP的作用原理、失败的原因、提高辅助效果的措施,以及应用注意事项。强调如有应用指征应尽早应用IABP。
From November 1982 to February 1990, intraaortic balloon pumping (IABP) was used in 43 patients with severe heart failure following cardiac surgery. Before IABP support, dopamine dose was 30±17μg/kg/min, dobutamine dose was 29±16μg/kg/min, and arterial systolic pressure was 10.9±2.7kPa (81±20 mmHg). There were 17 cases of long term survivors. Major complications were femoral arterial embolism in 3 cases and wound infection at the site of balloon insertion in 2 cases. The mechanisms of IABP, causes of failure, measures for successful assistance and points for attention with IABP were discussed. It is stressed that IABP should be used as early as possible when ever it is indicated.
出处
《中国循环杂志》
CSCD
1991年第5期434-438,共5页
Chinese Circulation Journal
关键词
心内直视术
球囊反博
心力衰竭
Open heart surgery
Heart failure
Intra-aortic balloon pump
Counterpulsation
