| 体外反搏的即时血流动力学效应：与主动脉球囊反搏装置的比较 |
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| 引用本文： | 梅卫义,杜志民. 体外反搏的即时血流动力学效应：与主动脉球囊反搏装置的比较[J]. 心血管病学进展, 2009, 30(5): 737-740 |
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| 作者姓名： | 梅卫义 杜志民 |
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| 作者单位： | 1. 中山大学附属第一医院黄埔院区心内科,广东,广州,510700
2. 中山大学附属第一医院心内科,广东,广州,510080 |
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| 摘 要： | 同主动脉内球囊反搏的即时血流动力学相似,体外反搏尤其是增强型体外反搏的应用可以使主动脉舒张压升高、多数患者收缩压下降,左心室后负荷降低、心输出量增加,冠状动脉血流增加,改善外周循环血流,提高切应力。但体外反搏会使静脉回心血量增多。与主动脉内球囊反搏相比,体外反搏无创、使用方便、并发症少,在临床显示出一定优势。
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| 关 键 词： | 增强型体外反搏 主动脉内球囊反搏 血流动力学 |
Immediately Hemodynamic Effects of Enhanced External Counterpulsation:Comparing with Those of Intraaortic Balloon Pumping |
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| MEI Wei-yi,DU Zhi-min. Immediately Hemodynamic Effects of Enhanced External Counterpulsation:Comparing with Those of Intraaortic Balloon Pumping[J]. Advances in Cardiovascular Diseases, 2009, 30(5): 737-740 |
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| Authors: | MEI Wei-yi DU Zhi-min |
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| Affiliation: | MEI Wei-yi, DU Zhi-min ( 1. Department of Cardiology, Huangpu Division of The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510700, China; 2. Department of Cardiology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China) |
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| Abstract: | Enhanced external counterpulsation （EECP） is a noninvasive method of assisted circulation,which has a similar immediate hemodynamic effects to intraaortic balloon pumping （ IABP）. EECP can enhance diastolic augmentation and systolic unloading, decrease the ~ ,：ffterload of left ventricle,increase cardiac output and coronary artery flow, improve peripheral circulation, and increase shear stress. In addi- tion,EECP can increase venous return. EECP can be implemented conveniently and immediately,and is noninvasive without risk of bleeding or infection,and therefore has great advantage compared with IABP. |
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| Keywords: | enhanced external counterpulsation intraaortic balloon pumping hemodynamic |
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