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目的:探讨在重症加强病房(ICU)床旁安置主动脉球囊反搏泵(IABP)的安全性。方法:回顾分析南方医科大学附属小榄医院ICU床旁安置IABP的52例患者的临床资料,通过IABP安置操作时间、操作过程不良事件、置管成功率、反搏效果、留置时间以及各种并发症等指标,对床旁紧急安置IABP的安全性进行初步评价。结果:52例患者全部顺利完成操作,成功率为100%,平均操作时间为(15±6)min。3例因严重休克难以触及股动脉需血管彩超定位协助动脉穿刺,操作过程中无一例发生严重不良事件。置管后床旁X线确认导管位置良好,反搏情况效果良好,平均留置时间为(6±3)d,术后1例发继发脑栓塞,10例出现一过性血小板降低,无一例发生IABP相关的感染、出血、肢体缺血、肾缺血及空气栓塞等并发症。结论:IABP是ICU病房内救治严重心源性休克的重要手段,床旁安置IABP具有较高的安全性,值得临床实践应用。
Objective: To investigate the safety of placement of aortic balloon pump (IABP) at the bedside of intensive care unit (ICU). Methods: The clinical data of 52 patients with IABP placed beside the ICU in the Affiliated Affiliated Siu Lam Hospital of Southern Medical University were retrospectively analyzed. The operation time, operational adverse events, success rate of catheterization, counterpulsation, retention time and various complications Disease and other indicators of bedside emergency placement of IABP safety preliminary evaluation. Results: All 52 patients completed the operation successfully with a success rate of 100% and an average operation time of (15 ± 6) min. In 3 cases, it was difficult to reach the femoral artery due to severe shock, and the vascular color Doppler was used to assist the arterial puncture. No serious adverse event occurred during the operation. The bedside X-ray after catheterization confirmed that the catheter was in good position and the counterpulsation was effective. The mean indwelling time was (6 ± 3) days. One case had secondary cerebral thrombosis and 10 cases had transient thrombocytopenia IABP-related infections, bleeding, limb ischemia, renal ischemia, and air embolism occur. Conclusion: IABP is an important means of treating severe cardiogenic shock in ICU ward. The placement of IABP at bedside has higher safety and is worthy of clinical application.