主动脉内球囊反搏与体外膜肺氧合联合用于急性心源性休克患者的抢救治疗  

Intra-aortic balloon pumping combined with extracorporeal membrane oxygenation for emergency treatment of acute cardiogenic shock

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

机构地区：[1]天津市第三中心医院心脏中心,天津300170

出　　处：《中国体外循环杂志》2010年第1期29-30,33,共3页Chinese Journal of Extracorporeal Circulation

摘　　要：目的总结主动脉内球囊反搏(IABP)与体外膜肺氧合(ECMO)联合应用救治心源性休克的临床经验。方法1例心源性休克患者经药物治疗和IABP辅助无效;经另一侧股动脉、股静脉插管建立ECMO辅助。在ECMO转流过程中同时联合使用IABP辅助。结果在IABP与ECMO联合辅助33h时后逐渐降低ECMO流量,IABP辅助参数不变;辅助到34h时ECMO流量减至0.3L/min,患者各项生命指标稳定,停ECMO;IABP继续辅助127h后撤除;13d后患者康复出院。结论危重患者在IABP辅助无效时应及时安装ECMO;联合应用ECMO可以提供有效的心肺功能支持。OBJECTIVE To summarize the clinical experience of intra- aortic balloon pumping（IABP） combined with extraeorporeal membrane oxygenation（ECMO） for emergency treatment of acute cardiogenic shock. METHODS One patient with acute cardiogenic shock treated by drug treatment and IABP failed to recover. ECMO via femora/artery and femoral vein in the other side was combined to assist. RESULTS ECMO flow was step down after 33 hours support of IABP conbined with ECMO while IABP ancillary parameter kept unchanging. After 34 h ECMO flow was step down to 0.3 L/min and then stopped when the patient＇life index was stabilizing. IABP continued to assist the patient for 127 h. The patient recovered well and discharge after 13 days hospital stay. CONCLUSION ECMO combined IABP can provide effective support for cardiorespiratory function when IABP alone failed to support in severe cases.

关 键 词：主动脉内球囊反搏 体外膜肺氧合 心源性休克 

分 类 号：R654.2[医药卫生—外科学]