| 孙勇池一凡侯文明牛兆倬孙忠东.IABP在危重症冠状动脉旁路移植术围手术期的应用[J].,2011,11(3):549-551 |
| IABP在危重症冠状动脉旁路移植术围手术期的应用 |
| Perioperative Application of the Intra-aortic Balloon Pump in High-riskPatients Undergoing Coronary Artery Bypass Grafting |
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| DOI： |
| 中文关键词: 主动脉球囊反搏 冠状动脉旁路移植术 围手术期 |
| 英文关键词: Intra-aortic balloon pump Coronary artery bypass grafting Perioperative period |
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| 中文摘要: |
| 目的：探讨危重症冠状动脉旁路移植术（CABG）患者围手术期应用主动脉球囊反搏(IABP)疗效。方法：回顾性分析2008 年
1月至2010年9月40例应用IABP治疗的危重症CABG患者围手术期资料。结果：术前安置IABP 19例，术中安置IABP 10例，
术后安置IABP 11例。平均IABP辅助时间98.6±48.2小时。32 例患者治愈出院，死亡8 例，死亡率20.0 %。术前安置者死亡率
为21.1 %，若除外机械并发症原因则死亡率为10.5 %；术中安置者死亡率为20.0 %；术后安置者死亡率为18.2 %。5 例出现血小
板减少症；1例出现肠系膜动脉栓塞。结论：IABP是一种安全有效的循环辅助方法，积极应用可以明显提高危重症CABG的治疗
效果。 |
| 英文摘要: |
| Objective: To evaluate effect of the perioperative application of intra-aortic balloon pump (IABP) in high-risk patients
undergoing coronary artery bypass grafting (CABG). Methods: From Jan 2008 to Sep 2010, the data of 40 high-risk patients undergoing
CABG with application of IABP were analyzed retrospectively. Results: IABP was applied for 19, 10 and 11 cases at pre, intra and post
operative period respectively. The total mortality was 20.0 %. The mortality of application of IABP at pre, intra and post operative period
were 21.1 %, 20.0 % and 18.2 % respectively. However, if the ventricular septal rupture was excluded, the mortality of application of
IABP at pre-operative period was only 10.5%. Conclusions: IABP is a safe and effective mode for circulation support. The appropriate
and enthusiastic application of IABP perioperatively can improve effect in high-risk patients undergoing CABG. |
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