Ventricular-assist pumping in patients with cardiogenic shock after cardiac operations.
Ventricular-assist pumping in patients with cardiogenic shock after cardiac operations.
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心脏手术后心源性休克患者的心室辅助泵血。
DOI：
10.1056/nejm198112313052702
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
Waldhausen,JA
中科院分区：
文献类型：
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作者：
Pierce,WS;Parr,GV;Myers,JL;PaeJr,WE;Bull,AP;Waldhausen,JA
应用心室辅助泵支持8例心内直视手术后不能脱离体外循环的患者的循环。5例左心室衰竭患者，通过从左心室或左心房向主动脉泵血维持体循环7.0±1.8天（平均值±S.E.M.）;其中三名病人在手术后四至十七个月康复。在两名双心室衰竭的患者中，右心室和左心室旁路支持循环，但两名患者均未存活。另1例患者出现孤立性右心室衰竭;从右心房泵入肺动脉维持肺循环2.2天。这个病人活了18个月，我们的病人使用心室辅助泵提供了体循环或肺循环或两者的完全支持。如果可以避免使用泵的技术问题，严重降低的心室功能可能是可逆的。（《新英格兰医学杂志》，1981年; 305：1606-10）
A ventricular-assist pump was used to support the circulation in eight patients who could not be separated from cardiopulmonary bypass after open-heart operations. In five patients with left ventricular failure, the systemic circulation was maintained with pumping from the left ventricle or left atrium to the aorta for 7.0±1.8 days (mean ±S.E.M.); three of these patients were well four to 17 months after surgery. In two patients with biventricular failure, right and left ventricular bypass supported the circulation, but neither patient survived. One other patient had isolated right ventricular failure; pumping from the right atrium to the pulmonary artery maintained the pulmonary circulation for 2.2 days. This patient lived for 18 months.Use of the ventricular-assist pump in our patients provided complete support of the systemic or pulmonary circulation or both. Profoundly depressed ventricular function is potentially reversible if technical problems in employing the pump can be avoided. (N Engl J Med. 1981; 305:1606–10.)