| 方瑾,黄鹤.血流动力学支持设备在心源性休克中应用的研究进展[J].安徽医药,2018,22(11):2067-2070. |
| 血流动力学支持设备在心源性休克中应用的研究进展 |
| Advancement on the use of hemodynamic support devices in cardiogenic shock |
| 投稿时间：2017-11-14 |
| DOI： |
| 中文关键词: 血流动力学支持设备 心源性休克 |
| 英文关键词: Hemodynamic support device Cardiogenic shock |
| 基金项目:国家自然科学基金项目(81570306) |
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| 摘要点击次数: 1967 |
| 全文下载次数: 712 |
| 中文摘要: |
| 血流动力学支持设备可以改善心源性休克患者紊乱的血流动力学状态,以确保急性心肌梗死并发心源性休克患者实现有效再灌注治疗,故其在心源性休克患者治疗中的地位日趋重要。该文旨在讨论不同血流动力学支持设备在心源性休克中应用的优缺点,进而为临床中血流动力学支持设备的选择提供相关依据。血流动力学支持设备中主动脉内球囊反搏是目前临床中应用最多且相对最成熟的；Tandem Heart及Impella设备在逆转心源性休克的代谢参数及血流动力学方面优于主动脉内球囊反搏治疗,且其创伤小无需体外循环；而体外膜氧合器在急性心肌梗死并发心源性休克治疗中的循证医学依据尚不充足,需要更大规模的临床研究来证实其临床作用。 |
| 英文摘要: |
| Hemodynamic support devices are playing an increasingly important role in the treatment of cardiogenic shock,which can correct a patient's hemodynamic disorders,and guarantee the implementation of reperfusion therapy in acute myocardial infarction patient complicated with cardiogenic shock.This review aims to discuss the advantages and disadvantages of different hemodynamic support devices in treating cardiogenic shock,and to provide relevant basis for the selection of hemodynamic support equipment in clinical practice.Studies have shown that intra-aortic balloon pump (IABP) is the most commonly used and mature of the mechanical systems in hemodynamic support devices.However,the Tandem Heart and Impella devices are better than the standard IABP treatment for the reversal of hemodynamic shock and metabolic parameters,which have the advantages of less trauma and no extracorporeal circulation.The evidence-based medical basis of extracorporeal membrane oxygenation (ECMO) in the treatment of in acute myocardial infarction complicated with cardiogenic shock therapy is not sufficient and more and larger clinical trials are still needed. |
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