南方医科大学学报2011，Vol.31Issue(4)：730-733,4.
EuroSCORE高危患者围术期应用主动脉内球囊反搏的效果分析
Effects of peri-operative intra-aortic balloon pump suppoit in high EuroSCORE patients undergoing cardiac surgery
张林 1高长青 1李伯君 1姜胜利 1肖苍松 1任崇雷1
作者信息
- 1. 解放军心脏外科研究所解放军总医院心血管外科,100853北京
- 折叠
摘要
Abstract
Objective To analyze the effects of perioperative intra-aortic balloon pump (IABP) support in EuroSCORE high-risk patients undergoing cardiac surgery, and evaluate the risk factors associated with mortality and midterm survival. Methods Fifty-eight patients with EuroSCORE of no less than 6 underwent cardiac surgery and received peri-operative IABP support, including 29 with preoperative IABP support, 21 with intra-operative IABP support, and 8 with postoperative IABP support. The patients who survived the surgeries were followed up for at least 1 year. Results Complications related to IABP support occurred in 2 cases (3.45%). The in-hospital mortality was 6.89% (4/58) in this series. Patients with intra-operative IABP had a lower ejection fraction, and those with pre-operative IABP showed more frequent unstable angina and recent myocardial infarction. The number of emergency procedures was also significantly higher in patients with pre-operative IABP support. Patients with intra- or postoperative IABP support had a longer ICU stay. The 1-year follow-up was completed in 54 patients and 4 deaths were recorded, with a 1-year survival of 86.21%. The 1-year survival rate was significantly higher in patients with preo- and intra-operative IABP support than those with post-operative IABP. Conclusion Peri-operative IABP support benefit cardiac support for cardiac surgery, and its preoperative use does not increase the surgical risk. Early prophylactic IABP support according to the EuroSCORE can improve the outcome of the high-risk cardiac surgery.关键词
主动脉内球囊反搏/冠状动脉旁路移植术/EuroSCOREKey words
intra-aortic balloon pump/ EuroSCORE/ coronary artery bypass grafting分类
医药卫生引用本文复制引用
张林,高长青,李伯君,姜胜利,肖苍松,任崇雷..EuroSCORE高危患者围术期应用主动脉内球囊反搏的效果分析[J].南方医科大学学报,2011,31(4):730-733,4.
