IABP主动脉内球囊反搏泵的临床使用

1、 Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp.有辅助的舒张末压有辅助的舒张末压 MVO2 需求需求 Datascope Corp. Datascope Corp.心电图心电图心室压力心室压力动脉压力动脉压力 Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp. Datascope Corp.辅助的主动脉舒张末压辅助

2、的主动脉舒张末压 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第一组第一组 & IABP第二组第二组无无 IABP(p = 0.004)平均在ICU停留时间 (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小时小时Group I (no IABP)Group II (IABP)P0.0001P=0.002 Datascope Corp.127.383.6020406080100120140分钟分钟使用体外循环机的时间使用体外循环机的时间第第I组组 (未用未用IABP)第第II 组组 (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