IABP主動脈內球囊反搏泵的臨床使用

1、 Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp.有輔助的舒張末壓有輔助的舒張末壓 MVO2 需求需求 Datascope Corp. Datascope Corp.心電圖心電圖心室壓力心室壓力動脈壓力動脈壓力 Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp.輔助的主動脈舒張末壓輔助

2、的主動脈舒張末壓 心肌氧需求心肌氧需求 Datascope Corp. Datascope Corp.Maccioli, GA, et al; Journal of Cardiothoracic Anesthesia1988 June; 2(3):365-373 Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascop

3、e Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp.88105020406080100120Time on CardiopulmonaryBypass (min.)Group I & II (IABP)Group III

4、(no IABP)(p 0.001)25012345In-Hosptial Mortality (No. of Deaths)Group I & II (IABP)Group III (no IABP)(p 0.05)3.52.301234第一組第一組 & IABP第二組第二組無無 IABP(p = 0.004)平均在ICU停留時間 (天) Datascope Corp. Datascope Corp. Datascope Corp.P0.0001P0.0001P0.0001P=0.0002P=0.0001P0.0001 Datascope Corp. Datascope Corp. Data

5、scope Corp. Datascope Corp. Datascope Corp. Datascope Corp.Mean Cardiac Index2.672.823.383.373.232.752.672.581.993.453.523.200.511.522.533.5Weaningfrom CPB(p0.0001)30 Min.(p0.0001)12 Hours(p=0.0046)48 hours(p=0.0008)72 hours(p0.0001)96 hours(p=0.0521)Group I (No IABP) Group II (IABP) Datascope Corp.

6、116.448.4020406080100120小時小時Group I (no IABP)Group II (IABP)P0.0001P=0.002 Datascope Corp.127.383.6020406080100120140分鐘分鐘使用體外循環(huán)機的時間使用體外循環(huán)機的時間第第I組組 (未用未用IABP)第第II 組組 (使用使用IABP) Datascope Corp. Datascope Corp.21.911.535.114.514.60010203040Incidence of Cath Lab Events (%)All High-RiskPatients (n=238)CardiogenicShock (n=119)CHF or Low EF(n=119)Group I (No IABC or I