通过皮肤心肺支进行心脏复苏
M R Rees1, T Browne, U M Sivananthan
1Cardiac Research Unit, Killingbeck Hospital, Leeds, UK.
Lancet (London, England)
|August 29, 1992
概括
穿皮心肺支 (CPS) 可以稳定心脏骤停的患者,从而使冠状动脉血管形成. 虽然CPS没有改善心脏性休克的存活率,但它对接受再血管化的心脏骤停患者有希望.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 关键护理医学 关键护理医学
背景情况:
- 在患有严重血液动力学不稳定的患者中,常规的复苏通常会失败.
- 穿皮心肺支 (CPS) 提供了一种潜在的解决方案,可以在关键心脏事件期间保持血液动力稳定.
研究的目的:
- 评估CPS在患有心脏性休克或心脏骤停的患者中的疗效.
- 评估在CPS支持下进行皮肤冠状动脉干预 (PCI) 的可行性.
主要方法:
- 由于常规复苏失败,九名患者接受了CPS (4例心脏性休克,5例心脏骤停).
- 在CPS期间监测血液动力学参数 (平均动脉内压力,流量).
- 在符合条件的患者中,冠状动脉血管造形术在CPS期间进行.
主要成果:
- 在心脏性休克患者中,CPS保持了平均动脉压 (84 mm Hg),但存活率为0%.
- 在心脏骤停患者中,CPS在所有5名受试者中成功进行PCI,实现了更高的平均动脉压 (95 mm Hg).
- 五名心脏骤停患者中有四人幸存下来,其中两个人在12个月后还活着.
结论:
- CPS可以为心脏骤停的患者提供血液动力学支持,促进冠状动脉血管形成成功.
- 虽然CPS没有改善心脏性休克的生存率,但它在接受PCI的心脏骤停患者中显示出生存益处.
- 对于一些需要紧急再血管化的耐火性心脏事件的患者来说,CPS可能是一个有价值的工具.
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