| 主动脉内球囊反搏与体外膜肺氧合联合用于急性心源性休克患者的抢救治疗 |
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| 引用本文： | 段大为,李彤,张文芳,赵成秀,张强,吴鹏,胡晓旻.主动脉内球囊反搏与体外膜肺氧合联合用于急性心源性休克患者的抢救治疗[J].中国体外循环杂志,2010,8(1):29-30,33. |
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| 作者姓名： | 段大为 李彤 张文芳 赵成秀 张强 吴鹏 胡晓旻 |
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| 作者单位： | 天津市第三中心医院心脏中心,天津,300170 |
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| 摘 要： | 目的总结主动脉内球囊反搏(IABP)与体外膜肺氧合(ECMO)联合应用救治心源性休克的临床经验。方法1例心源性休克患者经药物治疗和IABP辅助无效;经另一侧股动脉、股静脉插管建立ECMO辅助。在ECMO转流过程中同时联合使用IABP辅助。结果在IABP与ECMO联合辅助33h时后逐渐降低ECMO流量,IABP辅助参数不变;辅助到34h时ECMO流量减至0.3L/min,患者各项生命指标稳定,停ECMO;IABP继续辅助127h后撤除;13d后患者康复出院。结论危重患者在IABP辅助无效时应及时安装ECMO;联合应用ECMO可以提供有效的心肺功能支持。
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| 关 键 词： | 主动脉内球囊反搏 体外膜肺氧合 心源性休克 |
Intra-aortic balloon pumping combined with extracorporeal membrane oxygenation for emergency treatment of acute cardiogenic shock |
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| Duan Da-wei,Li Tong,Zhang Wen-fang,Zhao Cheng-xiu,Zhang Qiang,Wu Peng,HU Xiao-min.Intra-aortic balloon pumping combined with extracorporeal membrane oxygenation for emergency treatment of acute cardiogenic shock[J].Chinese Journal of Extracorporeal Circulation,2010,8(1):29-30,33. |
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| Authors: | Duan Da-wei Li Tong Zhang Wen-fang Zhao Cheng-xiu Zhang Qiang Wu Peng HU Xiao-min |
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| Institution: | Duan Da-wei,Li Tong,Zhang Wen-fang,Zhao Cheng-xiu,Wu Peng,Zhang Qiang HU Xiao-min Center of heart of Tian Jin Third Central Hospital,Tianjin 300170,China |
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| Abstract: | OBJECTIVE To summarize the clinical experience of intra-aortic balloon pumping(IABP) combined with extracorporeal membrane oxygenation(ECMO) for emergency treatment of acute cardiogenic shock.METHODS One patient with acute cardiogenic shock treated by drug treatment and IABP failed to recover. ECMO via femoral artery and femoral vein in the other side was combined to assist.RESULTS ECMO flow was step down after 33 hours support of IABP conbined with ECMO while IABP ancillary parameter kept unchanging. After... |
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| Keywords: | Intra-aortic balloon pumping Extracorporeal membrane oxygenation Cardiogenic shock |
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