Long-term results of ventricular assist pumping in postcardiotomy cardiogenic shock.
Long-term results of ventricular assist pumping in postcardiotomy cardiogenic shock.
复制标题
心室辅助泵在心切开术后心源性休克中的长期结果。
DOI：
10.1016/s0022-5223(19)36421-9
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
J. Waldhausen
中科院分区：
文献类型：
--
作者：
W. Pae;W. Pierce;J. Pennock;D. Campbell;J. Waldhausen
需要心室辅助泵治疗心切开术后心源性休克的患者的短期存活率令人鼓舞，并提供了足够的存活率以评估长期结果。我们观察了9名幸存者，39至69岁（平均= 54.6），10至53个月（平均= 31）出院后，在3例患者中，血管造影射血分数是正常的手术前，而在6例患者中，它是中度至重度受损。所有9例患者术前均为纽约心脏协会心功能IV级。术后9例患者中有8例功能I级或II级。在其余患者中，射血分数显著下降，术后功能等级保持不变。两名病人全职工作，一名兼职工作。5例患者已退休，但积极，没有心脏残疾，虽然五个有残留的部分非心脏残疾。剩下的一位家庭主妇，继续有代偿性充血性心力衰竭，但心绞痛缓解。在随访期间，9名患者中有5名在12、18、25、30和38个月后突然死亡，原因包括肺栓塞和可能的心律失常。心切开术后心源性休克的幸存者有心室辅助泵有很好的机会恢复积极的生活。成为“心脏残疾”的风险很小，严重的非心脏残疾的风险也很小。
Short-term survival of patients who require ventricular assist pumping for postcardiotomy cardiogenic shock has been encouraging and has provided enough survivors to allow evaluation of long-term results. We observed nine survivors, 39 to 69 years of age (mean = 54.6) for 10 to 53 months (mean = 31) after their discharge from the hospital In three patients, the angiographic ejection fraction was normal before the operation, whereas in six patients it was moderately to severely impaired. All nine patients were in New York Heart Association Functional Class IV before operation. After operation, eight of the nine patients were in Functional Class I or II. In the remaining patient, the ejection fraction fell markedly and the postoperative functional class remained unchanged. Two patients were employed full-time and one, part-time. Five patients were retired but active and had no cardiac disability, although two of the five did have residual partial noncardiac disability. The remaining patient, a housewife, continued to have compensated congestive heart failure but was relieved of angina. During the follow-up period, five of the nine patients died suddenly after 12, 18, 25, 30, and 38 months from causes that included pulmonary embolus and probable arrhythmias. Survivors who have had ventricular assist pumping for postcardiotomy cardiogenic shock have a good chance of resuming active lives. The risk of being a “cardiac cripple” is small, as is the risk of significant noncardiac disability.
术后心源性休克的机械循环辅助：三年经验。
DOI：
--
发表时间：
1980
期刊：
Transactions - American Society for Artificial Internal Organs
影响因子：
--
作者：
PaeJr,WE;Rosenberg,G;Donachy,JH;Landis,DL;Phillips,WM;Parr,GV;Prophet,GA;Pierce,WS
通讯作者：
Pierce,WS