主动脉内球囊反搏的原理及临床应用
许骥,郝恒剑
摘要(Abstract):
<正>主动脉内球囊反搏(intra-aortic balloon pump,IABP)是一种机械性辅助循环的方法,其基本原理是将球囊导管置于降主动脉内,外接控制装置,随心脏的舒张和收缩进行充气和放气,以提高心输出量,增加冠状动脉的灌注[1]。1 IABP的原理1.1 IABP的设计思路当患者出现严重心功能不全时,动脉压力降低,无法维持重要脏器的灌注,同时造成冠状动脉灌注减少,此时即使
关键词(KeyWords): 主动脉内球囊反搏;心脏疾病;血流动力学
基金项目(Foundation):
作者(Author): 许骥,郝恒剑
参考文献(References):
- [1]陆颂芳.主动脉内球囊反搏用气囊与控制驱动系统.国际生物医学工程杂志,1997,20:28.
- [2]梁永新,徐平,邢泉生.主动脉内球囊反搏的临床应用与研究进展.国际心血管病杂志,2004,31:141-145.
- [3]刘伯毅,罗杰,郑翔,等.主动脉内球囊反搏对血流动力学及临床预后的影响.中华实用诊断与治疗杂志,2008,22:498-499.
- [4]Sloth E,Sprogoe P,Lindskov C,et al.Intra-aortic balloon pumping increases renal blood flow in patients with low left ventricular ejection fraction.Perfusion,2008,23:223-226.
- [5]Boehmer JP,Popjes E.Cardiac failure:mechanical support strategies.Crit Care Med,2006,34:268-277.
- [6]Christenson JT,Simonet F,Badel P,et al.Optimal timing of preoperative intra-aortic balloon pump support in high risk coronary patients.Ann Thorac Surg,1999,68:934-939.
- [7]中华医学会心血管病学分会.急性心力衰竭诊断和治疗指南.中华心血管病杂志,2010,38:85-89.
- [8]中华医学会心血管病学分会.急性ST段抬高型心肌梗死诊断和治疗指南.中华心血管病杂志,2010,38:675-690.
- [9]Briguori C,Airoldi F,Chieffo A,et al.Elective versus provisional intra-aortic balloon pumping in unprotected left main stenting.Am Heart J,2006,152:565-572.
- [10]Mishra S,Chu WW,Torguson R,et al.Role of prophylactic intraaortic balloon pump in high-risk patients undergoing percutaneous coronary intervention.Am J Cardiol,2006,98:608-612.
- [11]Theologou T,Field ML.Preoperative IABP in high riskpatientsundergoing CABG.HSR Proc Intensive Care Cardiovasc Anesth,2011,3:21-22.
- [12]Arafa OE,Geiran OR,Andersen K,et al.Intra-aotic balloon pumping for predominantly right ventricular failure after heart transplantation.Ann Thorac Surg,2000,70:1587-1593.