主动脉内球囊反搏临床应用时机的选择与效果分析  

Selecting of opportunity and application effect of Intra-aortic Balloon Pump for Patients with Critical Heart disease

作　　者：段大为[1] 李彤[1] 张文芳[1] 赵成秀[1] 胡晓旻[1] 张强[1] 吴鹏[1] 

机构地区：[1]天津市第三中心医院心脏外科,300170

出　　处：《心肺血管病杂志》2009年第4期223-225,共3页Journal of Cardiovascular and Pulmonary Diseases

基　　金：天津市科委计划课题(编号:06YFSZSF01500)

摘　　要：目的:探讨主动脉内球囊反搏(IABP)在危重心脏病患者中应用时机的选择对治疗效果的影响。方法:分析48例危重心脏病患者并发心源性休克或低心排血量综合征(低心排)时应用IABP辅助治疗的临床效果以及影响预后的因素。结果:48例患者在应用IABP后血流动力学均有一定的改善;其中早期安装IABP的31例患者,死亡3例,病死率9.7%;手术或介入治疗后常规药物治疗(晚期)12～24 h后安装IABP的17例患者中有8例死亡,病死率47.1%。结论:IABP是一种简单有效的循环辅助手段,对危重心脏病患者改善血流动力学有一定效果,但安装时机的选择对治疗效果有明显的影响。IABP的安装应宁早勿晚。Objective： To investigate the application opportunity of intra-aortic balloon pump （IABP）for patients of severe heart disease and the application opportunity how to effect therapeutic efficacy for these patients. Method：To analyze the adjunctive therapy clinical effect and an influence prognostic factor for 48 patients with cardiogenic shock or low cardiac output syndrome who undergone IABP. ReSult ： The hemodynamics of patients have determinate amelioration undergone IABP to treat; There were 31 patients In the first time were used IABP to support, 3 cases died, death rate was 9.7% （3/31）;After operation on heart or interventional therapy, there were 17 patients undergone routine method drug treatment for 12-24 h weren＇t effect and then to insert IABP, 8 died, the death rate was47.1%（8/17）. Conclusion： IABP is a simple available circulation assist device and it is highly effective for patients of critical heart disease to improve bemodynamics; But installation opportunity have evident effect for therapeutic efficacy. The application for IABP must be early don＇t late.

关 键 词：主动脉内球囊反搏 心脏外科手术 急性心肌梗死 低心排血量综合征 

分 类 号：R54[医药卫生—心血管疾病]