围术期主动脉内球囊反搏在危重冠心病患者中的应用

山东大学学报(医学版)

围术期主动脉内球囊反搏在危重
冠心病患者中的应用

袭洁，吴树明，庞昕焱，张希全

（山东大学齐鲁医院心脏外科，济南 250012）

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-01-16 发布日期:2009-01-16
通讯作者: 吴树明

Perioperative application of intraaortic balloon pump in critical patients with coronary disease

XI Jie, WU Shuming, PANG Xinyan, et al

(Department of Cardiac Surgery, Qilu Hospital of Shandong University, Jinan 250012, China)

Received:1900-01-01 Revised:1900-01-01 Online:2009-01-16 Published:2009-01-16
Contact: WU Shuming

摘要/Abstract

摘要： 目的探讨危重冠心病患者围手术期应用主动脉内球囊反搏(IABP)的疗效。方法分析2001年8月至2008年2月38例围手术期应用IABP的患者资料。结果本组存活25例，死亡13例，病死率34.21%。冠心病术前应用IABP者病死率12.50%(1/8)，术中应用者28.57%(6/21),术后应用者66.67%(6/9)。术前和术中应用者病死率明显低于术后应用者。结论IABP是一种安全、有效的循环辅助方式，及早使用能降低病死率。

关键词: 血管外科手术, 主动脉内气囊泵, 手术后并发症

Abstract: To evaluate the effect of the intraaortic balloon pump (IABP) in critical patients with coronary disease undergoing cardiac operations. MethodsThe clinical data of 38 patients undergoing cardiac operations with application of IABP from August 2001 to February 2008 were retrospectively analyzed. Results25 patients were cured and 13 died, and the mortality was 34.21%. In coronary disease patients with preoperative use of IABP, the mortality was 12.50% (1/8) and in those with intraoperative use, the mortality was 28.57% (6/21), both were much lower than that of the postoperative application group ［66.67%(6/9)］. ConclusionIABP therapy is a safe and effective mode of circulation support. Early application lowers the mortality.

Key words: Vascular surgical procedures, s, Postoperative complications

中图分类号:

R654.2

袭洁，吴树明，庞昕焱，张希全. 围术期主动脉内球囊反搏在危重
冠心病患者中的应用
[J]. 山东大学学报(医学版), 2009, 47(01): 82-84.

XI Jie, WU Shuming, PANG Xinyan, et al. Perioperative application of intraaortic balloon pump in critical patients with coronary disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 82-84.

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