PPT用实战经验再谈IABP时机的选择与撤机的指征.pptVIP

用实战经验再谈IABP——时机的选择与撤机的指征 ;发展历程;Case 1;ECG;如何判断与处理？;Case 1;A = One complete cardiac cycle B = Unassisted aortic end diastolic pressure C = Unassisted systolic pressure D = Diastolic Augmentation E = Reduced aortic end diastolic pressure F = Reduced systolic pressure;氧供;European Journal of Cardio-thoracic Surgery 38,2010;反搏治疗后的变化;Journal of the national medical association,1998;IABP在心外科的应用;心外科具体指征;时机的选择;高风险CABG术前支持的适应症;;术前IABP辅助组 CPB时间缩短，更容易撤机(ρ=0.001) 术后心功能恢复，CI增高更显著(ρ ＜ 0.001) LCO发生率降低(ρ＜0.001) 术后可以更早地撤除IABP (ρ=0.0002) 插管时间缩短(ρ=0.0211) ICU留治时间缩短(ρ ＜ 0.001) 住院时间缩短(ρ=0.002) 住院死亡率降低(6:1) ;作者结论;EuroSCORE＞8;European Journal of Cardio-thoracic Surgery 38 ,2010 ;预防性使用而不是需要时再用;European Journal of Cardio-thoracic Surgery 38,2010;临床病例2;室速;ECG;二开手术;瓣膜病的支持;瓣膜置换术后低心排的应用;瓣膜患者应用注意;IABP临床禁忌症;British Journal of Anaesthesia.2009;IABP相关并发症;British Journal of Anaesthesia.2009;IABP严重并发症的独立危险因素;J Card Surg 2006;21:342-346;IABP应用时的重点;IABP辅助有效的指标;抗凝治疗;IABP停机指征;IABP的撤离;IABP临床疗效;心脏几种机械辅助的比较;心脏几种机械辅助的比较;心脏几种机械辅助的比较;心脏几种机械辅助的比较;小结;心脏重症需要预见性;Jks%+fTN96lw5kebHvJqw5IUNM7rmm%3+u8MEW8mu(ZlX)JFE4L-dE)Hz6-OYcwGVcUlekeIq05A)X!Jkk#5N(z54XZZP+V$1gXKkeKirLyhE)zGYnoD#yBJtrU0I89N9Pw+rd!84Az)eK0aWQKlAyo629o!G$gmraQW8amxri7U0)PNB!2pF%LQrIcXC5HgH0GoM(QoMHWErfSFX#786sEw%6RGX+$wGrw-sNZB+1Cif-3RWE2OnwzCFCpduj8r+HLd#wdcJfaY70yxt#I3YDK+lLhVi4IJaBDsbQwhXSKJ)7QV%rX3wonnuJZxDBf#7dH2oXG4WF-6SRDj$inXc24BXjbR%QLdtbj9gkb#ukhaVB7aF3miu%c)FLVsBP9#4s%Y1%!POb7X($p-V(*wvo1pd(5m(7PrPExYY2ZoRT2-K(4Ccy+%rp-ew*m1hO-t7))L7jqfSbT1RX#5imbG78tTBcz90LvlphT7hBbX0RntW9#i5$42R%7B$2Chs1pr-do1*5sW6YcmdP(j-0nZjCUl5Ozb#+s2V2QmQWmSIitv9FfM2oPpkwXHLwV2LqncH-*QE6utg3+H2JGdUtKHjVTpWKJiexx+!uFf3HhspjL*#)ZG6a0sR7Mw)e6FUmwIt3Prh6lc0c8Cw(X8xgYvsK2C*0qUixpLrtv-0caNX9Lz+I-yc*V#Zp%IaHcKi%gbVGnOZFgd257cMa2%uryue$dPD3f*O%i7VkmPjQH)k(*QnrFVCxQHVgrnifu(bjl3oe)IXAR!RfCYn0HaYTlbhO1Ya$AvTalTAhx2YU)tPiTB4KkrkL$Yph4XIAFzQeRPKU-xOFSJ1v8BYUcJD#nFlSasnr8FIV!+A-SgfvR-E*4UzKVCy*f96!0rXCg4Ks7uzcJ75!0fJhUxkmVG7-cA1q(R(a4P(oBu6moKdaCpNc+wUNA9(103TmU$C0O63I4EfuDbZqGi