頁籤選單縮合
題名 | 主動脈內氣球幫浦的臨床應用=Clinical Applications of Intra-Aortic Balloon Pump |
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作者 | 甘宗旦; 楊友任; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 5:4 2003.12[民92.12] |
頁次 | 頁320-332 |
分類號 | 416.26 |
關鍵詞 | 主動脈內氣球幫浦; 歷史; 臨床應用; IABP; Intra-aortic balloon pump; History; Clinical application; |
語文 | 中文(Chinese) |
中文摘要 | 主動脈內氣球幫浦在1968年首次被運用於急性心臟梗塞併發心因性休克開刀病患,之後被廣用於心臟患者的術後心臟支持與輔助脫離體外心肺循環機,目前更被廣用於侵襲性的心臟內科治療技術的病人支持:主動脈內氣球幫浦已經成為目前全世界對循環系統輔助上運用最為廣泛的機械。其主要作用原理是減少心室後負荷量,改善舒張期心臟冠狀動脈灌注量,加強心臟內膜下灌注血量。現在在臨床上,從為穩定因發生急性心肌梗塞併發症或休克的病患,到高危險性冠狀動脈整型手術和繞道手術,它的應用範圍非常的廣泛。本篇文章主要是希望對主動脈內氣球幫浦的發展歷史、原理、臨床應用時機與準則、裝置方式與併發症及其改進考量作一詳細的回顧探討。 |
英文摘要 | Since the first clinical application in cardiac operation more than 30 years ago, the intra-aortic balloon pump (IABP) has become an accepted treatment modality for patients with severally comprise hemodynamic. It reduced the left ventricular afterload, increases the mean diastolic aortic pressure, and then improves the perfusion of coronary blood flow. Over the yeas, with refinements in technology, its use has expanded; now, the IABP is used not only for treatment of post cardiac surgery low output syndrome, but also for prevention and treatment of acute myocardial ischemia or infarction associated with interventional cardiology. It has become the most widely applied mechanical circulatory asset method. This review provides the histories of development and evolution, the mechanisms and benefits, the evidences for clinical application, guidelines of application, and methods in decreasing morbidities and mortalities. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。