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中华重症医学电子杂志 ›› 2016, Vol. 02 ›› Issue (01) : 6 -11. doi: 10.3877/cma.j.jssn.2096-1537.2016.01.003

所属专题: 重症医学 文献

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重症心脏与心脏机械辅助装置:现状与未来
孙仁华1,*,*(), 刘景全1   
  1. 1. 310014 杭州,浙江省人民医院重症医学科
  • 收稿日期:2015-02-16 出版日期:2016-02-28
  • 通信作者: 孙仁华

Critical heart disease and mechanical circulatory support

Renhua Sun1(), Jingquan Liu1   

  1. 1. Department of Intensive Care Unit, Zhejiang Provincial People's Hospital, Hangzhou 310014, China
  • Received:2015-02-16 Published:2016-02-28
  • Corresponding author: Renhua Sun
  • About author:
    Corresponding author: Sun Renhua, Email:
引用本文:

孙仁华, 刘景全. 重症心脏与心脏机械辅助装置:现状与未来[J/OL]. 中华重症医学电子杂志, 2016, 02(01): 6-11.

Renhua Sun, Jingquan Liu. Critical heart disease and mechanical circulatory support[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2016, 02(01): 6-11.

机械循环支持(mechanical circulatory support,MCS)已广泛应用于ICU心源性休克及重度心力衰竭患者的救治,为心脏功能恢复的过渡发挥着重要的作用,可纠正患者的血流动力学状态,保障组织灌注,提高生存率。目前,对于MCS应用于重症心脏领域仍有很多值得进一步探索问题,如MCS适应证、应用时机及应用效果等,有待大规模临床研究验证。近年来MCS领域取得了令人欣喜的进步,如小型便携式心脏泵。未来MCS发展方向是体积小、微创、置入和撤离方便、组织相容性好及辅助效果确切。

Mechanical circulatory support (MCS) plays an important role in the treatment of cardiogenic shock and heart failure in the ICU. It is able to correct hemodynamic disorders, improve tissue perfusion and increase survival rate. But problems exist in the application of MCS in patients with critical heart disease including its indications, timing and effect, and RCTs are needed. Remarkable achievements have been made in MCS such as the application of small, portable heart pump. In future, MCS would be smaller, minimally invasive, convenient for placement and removal, and have better histocompatibility and auxiliary effectiveness.

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