叶燕.主动脉内球囊反搏在16例暴发性心肌炎中的应用及观察要点[J].内科急危重症杂志,2017,23(6):469-471
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| DOI：10.11768/nkjwzzzz20170608 |
| 中文关键词: 暴发性心肌炎 主动脉内球囊反搏 护理 |
| 英文关键词: |
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| 摘要点击次数: 1898 |
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| 中文摘要: |
| 目的:总结主动脉内球囊反搏（IABP）在暴发性心肌炎(FM)中的应用效果及护理要点。方法:回顾性分析16例使用IABP进行循环支持的FM患者的临床特点、使用IABP治疗前后的生命体征、左心室射血分数(LVEF)、N末端B型利钠肽原（NT-proBNP）及IABP相关并发症等临床资料，并总结整个治疗过程中的护理要点。结果：16例患者均治愈出院，且无IABP相关并发症发生，使用IABP治疗后患者的收缩压、舒张压、平均压、NT-proBNP及LVEF较治疗前均有显著改善（均P<0.05）。结论： IABP可为FM患者提供有效的循环支持，结合整体精细化的护理，能提高患者的存活率。 |
| 英文摘要: |
| Objective: To summarize the effect and nursing points of intra-aortic balloon pump (IABP) in fulminant myocarditis (FM). Methods: The clinical data of 16 patients with FM were retrospectively analyzed. The parameters including the clinical characteristics, vital signs, left ventricular ejection fraction(LVEF), NT-proBNP, IABP complications and other clinical data were compared before and after the circulatory support of IABP. The nursing points were summarized in the entire process of treatment. Results: All 16 patients recovered without any IABP-related complications. Parameters related to the systolic and diastolic blood pressure, mean blood pressure, NT-proBNP and LVEF were improved significantly after the treatment of IABP (P<0.05). Conclusions: IABP provided effective circulatory support for patients with FM and improved the survival rate of patients with meticulous nursing care. |
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