主动脉内球囊反搏治疗重症心脏瓣膜病术后并发低心排综合征效果分析

摘要

目的：：观察主动脉内球囊反搏(intra-aortic balloon pump)治疗重症心脏瓣膜病患者术后并发低心排综合征的临床效果。方法：重症心瓣膜病术后并发低心排血量综合征患者36例，经 IABP 治疗，比较平均动脉压(MAP)、尿量、心率、多巴胺及多巴酚丁胺、肾上腺素剂量、心指数 CI 变化。结果：应用 IABP 的患者治疗后平均动脉压(MAP)升高、尿量增多、心率减慢，多巴胺及多巴酚丁胺、肾上腺素剂量的减少，心指数 CI 升高。结论：合理选择适应症、准确把握应用时机、及早有效的应用 IABP 治疗重症心脏瓣膜病外科术后并发低心排综合征，可以显著降低患者术后病死率。%Objective:To observe the clinical effect of intra aortic balloon pumping in the treatment of low cardiac output syndrome after the operation of valvular heart disease.Methods:36 cases of severe valvular dis-ease patients complicated with postoperative low cardiac output syndrome were selected and treated by IABP. Then compared the change of average MAP,urine volume,heart rate,dopamine,dobutamine,adrenaline dose,and cardiac index after using IABP.Results:The average MAP and urine volume were increased,heart rate became slower,dopamine,dobutamine and adrenaline dose were decreased,and the CI was increased. Conclusion:That rationally choose adaptation diseases,accurately master the application time,and effectively apply the IABP to cure the low cardiac output syndrome effect after the operation of severe valvular disease can obviously reduce the postoperative death rate of patients.