| 左心室辅助装置在心脏术后低心排综合征的临床应用 |
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| 引用本文： | 马幸生,杨双强. 左心室辅助装置在心脏术后低心排综合征的临床应用[J]. 实用医院临床杂志, 2011, 8(5): 7-11 |
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| 作者姓名： | 马幸生 杨双强 |
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| 作者单位： | 重庆医科大学附属第一医院胸心外科,重庆,400016 |
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| 摘 要： | 心脏术后低心排综合征是心脏手术常见并发症,发生率为0.2%～6%,严重影响手术预后,其中部分患者需要左心室辅助装置(left ventricular assist device,LVAD)支持治疗。LVAD是循环支持的一种机械辅助方式,在严重低心排综合征治疗中,〗通过维持和增加循环量,保障和改善器官组织灌注并减轻左心负荷,为减轻心肌水肿,恢复心肌正常代谢和心脏功能赢得有效时间。果断及时使用LVAD是抢救成功的关键。仔细操作、合理抗凝、合理调整辅助流量等是降低并发症的重要措施。
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| 关 键 词： | 左心室辅助装置 低心排综合征 心脏外科手术 |
Clinical application of left ventricular assist device in postcardiotomy low cardiac output syndrome |
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| MA Xing-sheng,YANG Shuang-qiang. Clinical application of left ventricular assist device in postcardiotomy low cardiac output syndrome[J]. Practical Journal of Clinical Medicine, 2011, 8(5): 7-11 |
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| Authors: | MA Xing-sheng YANG Shuang-qiang |
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| Affiliation: | MA Xing-sheng,YANG Shuang-qiang(Department of Cardiothoracic Surgery,The First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China) |
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| Abstract: | Postcardiotomy low cardiac output syndrome is a common complication after cardiac surgery.It is also an important factor affecting the surgical prognosis.The prevalence of postcardiotomy low cardiac output syndrome ranges from 0.2% to 6%.Some patients need support of left ventricular assist device(LVAD).In the treatment of severe low cardiac output syndrome,LVAD is a mechanical circulatory support because it may alleviate myocardial edema and win an effective recovery of both normal myocardial metabolism an... |
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| Keywords: | Left ventricular assist device Low cardiac output syndrome Cardiac surgery |
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