【摘要】 目的探讨心脏围手术期应用主动脉内球囊反搏(IABP)的疗效。方法分析2001年1月~2007年8月55例应用IABP心脏手术患者的资料。结果本组总病死率42%,其中冠心病患者手术死亡率(36%)低于非冠心病者的手术死亡率(64%,P<0·05);术前应用IABP患者手术死亡率(0%)明显低于术中(40%)和术后(50%)应用IABP的患者(P<0·05);IABP辅助后血流动力学指标明显改善,血管活性药物用量减少。结论IABP是救治重症高危心脏病患者的有效手段,其效果主要取决于患者的心脏病基础情况以及IABP的正确操作和使用的指征和时机。更多还原

【Abstract】 AIM To discuss the perioperative application of intraaortic balloon pump (IABP) in highrisk patients undergoing cardiac operations. METHODS From Jan. 2001 to Aug. 2002, 55 patients undergoing cardiac operation with application of IABP perioperatively were analyzed. RESULTS The total mortality was 42%, with 36.4% in coronary heart disease patients and 64% in noncoronary heart disease patients (P<0.05). In patients using IABP preoperatively, the mortality was much lower than that in patients using IABP during or postoperatively (0%, 40%, 50% respectively, P<0.05). After using IABP, homodynamic data improved and dose of cardiovascular drugs decreased significantly. CONCLUSION IABP is a safe and effective mode of circulation support. Prognosis depends on the heart conditions, proper indication, correct setup and monitoring for IABP.更多还原