主动脉内球囊反搏在急诊冠脉搭桥术中的应用  

Application of IABP in emergency coronary artery bypass grafting

作　　者：汪涛[1] 温定国[1] 凌庆[1] 赵萍[1] 欧竹君[1] 

机构地区：[1]广东省深圳市人民医院心脏外科,518020

出　　处：《中国心血管病研究》2005年第1期52-53,共2页Chinese Journal of Cardiovascular Research

摘　　要：目的总结主动脉内球囊反搏(IABP)在急诊冠状动脉旁路移植术(eCABG)中应用的临床经验,探讨此类手术应用IABP的时机选择和适应证。方法总结12例冠心病患者在IABP支持下,实施急诊冠状动脉旁路移植术的情况。结果1例术后5d撤除IABP,次日出现严重心律失常死亡;其余11例均在术后3～6d撤除IABP,恢复良好,痊愈出院。结论急诊冠状动脉旁路移植术风险较大,特别是严重的低心排导致手术效果更加不确定.在术前、术中应用IABP可以有效地改善心功能,提高手术成功率。Objective To study the clinical experience and application of IABP in the patient with emergency coronary artery bypass grafting. Methods 12 cases of emergency coronary artery bypass grafting with IABP were performed from March of 2002 to March of 2004. Results 1 case was dead due to severe arrhythmia after removed IABP.The other 11 cases were healed after removed IABP and left hospital all right. Conclusion Emergency coronary artery bypass grafting(eCABG) has higher risk,the operation is more difficult when the patient has severe heart failure.IABP can improve the heart function effectively and therefore can improve the success rate of operation.

关 键 词：主动脉内球囊反搏 心肌梗死 急诊冠状动脉旁路移植术 

分 类 号：R654.2[医药卫生—外科学]