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主动脉内球囊反搏 (intraaortic balloon pump,IABP)已广泛应用于成年人心源性休克和围手术期低心排血量综合征的治疗 ,并取得良好的治疗效果 ,但在小儿中的应用仍较局限。现就有关 IABP在小儿中的应用进行综述 ,着重分析 IABP的适应证和影响在小儿中应用的技术困难和其他因素 ,介绍小儿 IABP应用的技术要点 ,可能的并发症和治疗效果。在无体外膜式氧合器 (ECMO)和左心辅助设备的情况下 ,小儿心脏直视手术后如不能脱离体外循环机或发生严重低心排血量综合征等 ,应用 IABP治疗可收到较好的效果。
Intra-aortic balloon pump (intraaortic balloon pump, IABP) has been widely used in adult patients with cardiogenic shock and perioperative low cardiac output syndrome, and achieved good therapeutic effect, but in children Still more limited. IABP is now on the application of the review in children, focusing on analysis of IABP indications and affect the application of technical difficulties in children and other factors, introduce the technical points of pediatric IABP application, possible complications and treatment. In the absence of extracorporeal membrane oxygenator (ECMO) and left atrial appendage equipment, pediatric open heart surgery if not out of cardiopulmonary bypass machine or the occurrence of severe low cardiac output syndrome, etc., IABP treatment can be received Better effect.