中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

体外膜肺氧合联合主动脉内球囊反搏在心脏术后的应用

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目的 探讨体外膜肺氧合联合主动脉内球囊反搏术在心脏术后急性心力衰竭中的应用。 方法 回顾性分析 2012 年 10 月至 2017 年 10 月郑大一附院心外三科因急性心力衰竭接受体外膜肺氧合联合主动脉内球囊反搏治疗的 38 例患者的临床资料,探索联合应用在心脏术后中的作用。 结果 24 名患者成功撤离机械辅助装置,其中 16 名患者存活出院。其中死亡组肾功能衰竭的发生率显著高于生存组,且有统计学意义。在不能脱机组的患者中,混合静脉血氧饱和度未见明显好转。 结论 体外膜肺氧合联合主动脉内球囊反搏可能具有协同作用,在心脏术后急性心力衰竭的治疗中起到一定的辅助作用。

关键词: 体外膜肺; 主动脉内球囊反搏; 急性心力衰竭; 心脏术后

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