頁籤選單縮合
題 名 | 機械性循環輔助=Mechanical Circulatory Support |
---|---|
作 者 | 吳英黛; 王水深; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 22:1 1997.01[民86.01] |
頁 次 | 頁69-79 |
分類號 | 415.319 |
關鍵詞 | 機械性循環輔助系統; 物理治療; Mechanical circulatory support; Physical therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 機械性循環輔助裝置可有效地挽救心臟衰竭的病人,增加病人的存活,或者維持 適當的血液循環,以便進一步的治療。可分為短期和長的輔助裝置,前者多經皮插入,後者 主要指的是心室輔助器和全人工心臟,則需靠手術植入。在何時植入何種裝置主要由醫師依 病人情況而定,治療師應對機械性循環輔助裝置有基本的認識,在病人使用這些裝置時,有 效提供呼吸照顧,並協肋病人功能活動和運動訓練。本文主要涵蓋機械性循環輔助系統的概 述,包括適應症、常見的種類、置入方法,併發癌以及長期性裝置對循環生環的影響,同時 簡單介紹長期使用循環輔助糸統者的功能調適、生活品質以及機械性循環輔助器的研發現況 。(中華物療誌 1997:22(1):69-79) |
英文摘要 | Mechanical circulatory suuport devices are effective in saving patient s from failing hearts. They are different in the degree of support and in te invasiveness of device insertion. Physicians in charge decide the timing of device application and choice of an appropriate device in a specific clinical setting. Therapist should understand 1) the basic types of the circulatory support; 2) the functions of these devices; 3) the mechanisms of the devices and precautions while working or exercising with patients having such assistive devices. This article provides the overviews of the indications, complications, and commonly available models of short-term and long-term supportive devices. The operative procedures of implantable ventricular assistive device (VAD) and total artificial heart (TAH) and postoperative recovery are described. The TAH devices are oftern have venous return sensitivity less than optimal and limitations in maximal flow. the other physiological changes related to TAH are also addressed. Experiences in many medical centers around the world have made possible to optimize patiens' general condition and improve their chance of survival. Some of these patients have been discharged from hospital and survieved over 1 year. Researches have been undergone even no devices are approved for permanent implantation at the present tims.(JPTA ROC 1997;22(1):69- 79). |
本系統中英文摘要資訊取自各篇刊載內容。