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主动脉内球囊反搏(IABP)是一种重要的机械循环支持装置,能有效增加心排血量、降低后负荷、增加冠状动脉灌注,改善缺血性胸痛和限制心肌梗死的范围。随着主动脉内气囊泵的器械和装置不断更新,质量不断改善与提高,应用范围不断扩大,并发症显著下降,对行经皮冠状动脉介入治疗(PCI)的高危患者,尤其是PCI术前、术中及术后出现血流动力学不稳定者尤为重要,但对于在PCI患者中应用IABP的时机及疗效存在分歧。
Intra-aortic balloon pump (IABP) is an important mechanical circulatory support device that can effectively increase cardiac output, reduce post-load, increase coronary perfusion, improve ischemic chest pain and limit the extent of myocardial infarction. With the continuous renewal of the instruments and devices of the intra-aortic balloon pump, the quality is continuously improved and improved, the scope of application is expanding and the complications are significantly reduced. High-risk patients undergoing percutaneous coronary intervention (PCI), especially before PCI, Intraoperative and postoperative hemodynamic instability is particularly important, but for the timing and efficacy of IABP in patients with PCI there are differences.