天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2014年
2期
141-142
,共2页
主动脉球囊反搏%亚低温%心脏外科%心排血量,低%心脏指数%血氧饱和度%尿量%肌酐
主動脈毬囊反搏%亞低溫%心髒外科%心排血量,低%心髒指數%血氧飽和度%尿量%肌酐
주동맥구낭반박%아저온%심장외과%심배혈량,저%심장지수%혈양포화도%뇨량%기항
IABP%mild hypothermia%cardiac surgery%low cardiac output%cardiac index%blood oxygen saturation%urine volumn%Cr
目的：探讨亚低温联合主动脉球囊反搏（IABP）治疗心脏外科术后低心排的临床效果。方法选取因心脏外科术后应用大剂量血管活性药物但未改善低心排，而采取IABP及亚低温联合治疗的患者12例。监测患者在联合治疗前后心脏指数(CI)值、混合静脉血氧饱和度（SvO2）、尿量及肌酐（Cr）的变化。结果亚低温联合IABP治疗后，患者CI较治疗前明显改善[L/(min·m2)：2.4±0.5 vs 1.6±0.2)]，SvO2升高(0.65±0.07 vs 0.52±0.05)。尿量明显增加[mL/(kg·h)：2.9±1.9 vs 1.2±0.9]，Cr明显下降（mmol/L：95±10 vs 282±25）。结论亚低温联合IABP治疗心脏外科术后低心排能有效改善循环功能，且操作简单易行。
目的：探討亞低溫聯閤主動脈毬囊反搏（IABP）治療心髒外科術後低心排的臨床效果。方法選取因心髒外科術後應用大劑量血管活性藥物但未改善低心排，而採取IABP及亞低溫聯閤治療的患者12例。鑑測患者在聯閤治療前後心髒指數(CI)值、混閤靜脈血氧飽和度（SvO2）、尿量及肌酐（Cr）的變化。結果亞低溫聯閤IABP治療後，患者CI較治療前明顯改善[L/(min·m2)：2.4±0.5 vs 1.6±0.2)]，SvO2升高(0.65±0.07 vs 0.52±0.05)。尿量明顯增加[mL/(kg·h)：2.9±1.9 vs 1.2±0.9]，Cr明顯下降（mmol/L：95±10 vs 282±25）。結論亞低溫聯閤IABP治療心髒外科術後低心排能有效改善循環功能，且操作簡單易行。
목적：탐토아저온연합주동맥구낭반박（IABP）치료심장외과술후저심배적림상효과。방법선취인심장외과술후응용대제량혈관활성약물단미개선저심배，이채취IABP급아저온연합치료적환자12례。감측환자재연합치료전후심장지수(CI)치、혼합정맥혈양포화도（SvO2）、뇨량급기항（Cr）적변화。결과아저온연합IABP치료후，환자CI교치료전명현개선[L/(min·m2)：2.4±0.5 vs 1.6±0.2)]，SvO2승고(0.65±0.07 vs 0.52±0.05)。뇨량명현증가[mL/(kg·h)：2.9±1.9 vs 1.2±0.9]，Cr명현하강（mmol/L：95±10 vs 282±25）。결론아저온연합IABP치료심장외과술후저심배능유효개선순배공능，차조작간단역행。
Objective To evaluate the effectiveness of mild hypothermia and the intra-aortic balloon pump (IABP) in postcardiac surgical patients with severe heart failure. Methods Twelve patients took combination therapy of IABP and mild hypothermia after cardiac surgery, which did not improve the low cardiac output with massive doses of catecholamine, were included in this study. The values of cardiac index (CI), mixed venous oxygen saturation (SvO2), urine volume and creati-nine (Cr) were measured before and after treatment. Results After combination therapy of IABP and mild hypothermia, the value of CI was improved obviously [L/(min·m2):2.4±0.5 vs 1.6±0.2], the value of SvO2 increased (0.65±0.07 vs 0.52±0.05 ), urine output increased obviously [mL/(kg·h):2.9±1.9 vs 1.2±0.9 ] and the value of Cr decreased obviously (mmol/L:95±10 vs 282±25 ). Conclusion The combination therapy of mild hypothermia and IABP is an effective and simple procedure for the postcardiac surgical patients with severe heart failure.
