摘要
目的 :探讨主动脉内气囊反搏 (IABP)在冠心外科中的应用时机和效果。方法 :对 91例冠状动脉搭桥术 (CABG)病人行 IABP治疗 ,其中术前使用者 12例 (13.2 % ) ,术中开放主动脉 30 m in内使用者 2 8例 (30 .8% ) ,开放主动脉 30 m in后使用者 5 1例 (5 6 % )。结果 :使用 IABP后 ,病人平均动脉压升高、心率、中心静脉压、左房压下降 ,升压药用量减少 ,频发室性心律失常消失 ,左心功能改善。术前置 IABP有效率 91.7% ,病死率 9.1% ;术中开放升主动脉 30 min内使用 IABP有效率 89.3% ,病死率 14.3% ;开放升主动脉 30 min后使用 IABP有效率 82 .4% ,病死率 41.2 %。 1例发生下肢缺血 ,没有因 IABP并发症导致死亡。结论 :IABP对冠心外科病人的急性左心衰治疗作用是肯定的 ,但应用要及时。
Objective:To study the timing and effect of intra aortic balloom pumping(IABP) in coronary artery surgery Methods:From April 1997 to May 2000 ninety one patrents who underwent coronary artery bypass procedure in Septuagenations received IABP treatment which legan pre operation in 12(13 2 percent),within 30 minutes after opening aorta in 28(30 8 percent),and later than 30 minutes in 51 cases(56 percent) Results:After IABP treatment patients,average artery pressure increased;heart rate、central venous pressure and left artrium pressure decreasd;freguent rentrical arrly thmia dismissed;and left heart function ameliorated The efficency was 91 7% and mortality was 9 1% and 14 3% respectively,legan within30 minutes after opening aorta 82 4% and 41 2% respectively When later than 30 minutes,one patient suffered from ischemia in low limbs No patient died of complications of IABP Conclusion:The advantages of IABP for patients with acute heart failure in coronary artery surgery were affirmative But it should be applied early
出处
《广西医科大学学报》
CAS
2001年第1期42-44,共3页
Journal of Guangxi Medical University
关键词
主动脉内气囊反搏
冠状动脉搭桥术
IABP
Intra aortic Balloom Pumping(IABP)
coronary arteny bypass procedure in Septuagenations
