Application of aortic balloon counterpulsation combined with coronary artery bypass grafts on low cardiac output in patients with left trunk and coronary multi-vessel lesions and its nursing
- VernacularTitle:主动脉球囊反搏联合冠状动脉旁路移植术在左主干及冠脉多支病变低心输出中的应用及护理
- Author:
Haiyan XU
1
;
Jiaxiang XIE
Author Information
- Keywords: intra aortic balloon pump; coronary artery bypass grafting; coronary heart disease; low cardiac output; nursing
- From: Journal of Clinical Medicine in Practice 2018;22(8):31-34
- CountryChina
- Language:Chinese
- Abstract: Objective To discuss application of intra-aortic balloon pump(IABP) combined with coronary artery bypass grafts(CABG) on low cardiac output in patients with left trunk and coronary multivessel lesions and its nursing.Methods A total of 24 low cardiac output patients with left trunk and coronary multivessel lesions were given intra-aortic balloon pump,hemodynamic index was monitored,and their vital organs were supported and protected,disease observation and nursing of complications was enhanced during IABP.Results After intra-aortic balloon pump,24 patients had increased systolic pressure,average arterial pressure and urine volume,and decreased heart rate.And 14 CABG cases were smoothly performed under supporting of IABP.The remaining 10 patients had steadiness hemodynamic index after CABG,among whom 7 cases occurred complications,2 with renal insufficiency (8.3％),3 with puncture place bleeding (12.5％),and 2with lower limb ischemia.A total of 20 patients were recovered after surgery,and 4 patients gave up treatment for multiple organ failure.Conclusion CABG perioperative jointed with intra-aortic balloon pump may rectify the abnormal hemodynamics of patients with severe left trunk and coronary artery disease,improve cardiac function.Rigorous disease observation and efficient nursing intervention can decrease complications and promote the patients recovery.
