主动脉内球囊反搏在严重冠心病中的临床应用.pdfVIP

.3198. 小因1直居民药2010 年 12 月第 17 在第 23 期 Chin J Prim Med Pharm ,December 2010 ,Vol. 17 ,:-1 0.23 主动脉内球囊反搏在严重冠心病中的临床应用 张国培张亚军宋建祥邹其银 [摘要} 目的探讨主动脉内球囊反搏(1ABP) 在严重冠心病中的应用效果。方法 回顾性分析应用 IABP 治疗的 19 例严重冠心病患者，比较使用 IABP 治疗前后平均动脉压的变化。 19 例患者分为两组，单纯 IABP 组 6 例，IABP 联合血运重建(搭栓/冠状动脉介入治疗/冠状动脉旁路移植术)组 13 例，比较两组的院内 病死率。结果 IABP 床边操作成功率 1 ∞%，无相关并发症发生。 IABP 治疗有效率 89.5% 0 IABP 使用 30 mín后，患者的平均动脉压由(52.1 士 18.4 )mm Hg 上升到(78.3 :t 20. 8) mm Hg(P 0. 01) 。单纯 IABP 组 与联合血运重建组院内病死率比较(83.3% 比 7.7% ， PO.OI) 。结论 IABP 治疗严重冠心病安全、有效。 联合血运重建治疗可以降低严重冠心病患者的院内病死率。 [关键词] 主动脉内气囊泵;治疗学 咀If CIiniαil appli臼tion of intra曲而c balloon ptD1JpÎI喀恤往回lting seriOl.lS coronary heart ~配 Z血NG cu仕内， ZHANG Ya-jun ,SONG lian-xiang ZHOU Qi币n. Department of Cardiology , Yancheng Hospital Affiliated to the Medical College of Southeωt Unil坦rsi妙， Yancheng ,liangsu 224∞I ， China [ Abstract] Objective To evaluate the effect of íntra-aortíc halloon pumpi咱(IABP) in treating seríous coro- nary heart disease. Methods A retrospectíve analysís was performed on 19 patients who suffered from seríous coro. naηheart disease and accepted IABP therapy ,the dífferences of mean arteríal pressure before and after treatment were compared. In order to compare the in-hospital mortality ,the patients were divíded ínto 2 groups: 6 of 19 patients ac. cepted síngle IABP therapy ,13 of 19 patients attempted IABP and revascularízatíon( thromholytí c/ percutaneous coro. naηíntervention/coronarγarteηbypass graft) therapy. Results Bedside success rate of IABP operation was 1 ∞% without complícatíon. Effective rate was 89.5% (17/19) ,2 patients who were írreversíble phase of cardiogenic shock , were an ineffective treatment. 四e patients mean arteríal pressure increased from( 52. 1 :t 18.4) mm Hg to( 78.3 :t 20.8 )mm Hg after usíng IABP for 30 minutes( P 0. 01).ηle in.hospital mortality was significantly lower in patients receive