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《Chinese Journal of Cardiovascular Research》 2018-05
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Clinical study of thrombocytopenia after implanting IABP in patients undergoing cardiac surgery

JIANG Zhao-lei;YIN Hang;TANG Min;Department of Cardiothoracic Surgery,Xinhua Hospital Shanghai Jiaotong University,School of Medicine;  
Objective To explore the change of platelets after implanting IABP in patients with cardiac surgery and the influence on prognosis. Methods Retrospectively analyze the clinical data of 176 IABP(≥3 days) patients from January 2010 to June 2015 in the department of cardiothoracic surgery, Shanghai Jiaotong University School of Medicine. Observe the change of platelets before and after implanting IABP. Analyze the relationship between the thrombocytopenia and patients' prognosis. Results The platelets declined after the application of IABP in 104 patients. Twenty two cases were in the first degree of thrombocytopenia; 51 cases were in the second degree of thrombocytopenia; 23 cases were in the third degree of thrombocytopenia; and 8 cases were in the fourth degree of thrombocytopenia. A total of 17 patients received platelet transfusion, but no patients occurred serious complications relate to bleeding. At discharge, 149 patients survived and recovered, and other 27 patients died or were discharged automatically. Of all alive patients, the platelets returned to normal value at discharge in 141 patients, and other 8 patients still had the first or second degree of thrombocytopenia. Conclusion Thrombocytopenia is one of the complications of using IABP. As long as giving intensive care and timely treatment, patients could get a good prognosis, even if there is a third or fourth degree of thrombocytopenia. At the same time, thrombocytopenia may not be an independent risk factor for in-hospital mortality in patients with IABP, because thrombocytopenia does not cause serious complications relate to bleeding.
【CateGory Index】: R654.2
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【Citations】
Chinese Journal Full-text Database 4 Hits
1 ZHANG Xian-fen;GAO Wen-gen;MENG Hai-ying;Department of Cardiac Surgery,the First Affiliated Hospital of Henan University of Science and Technology;;Clinical analysis of thrombocytopenia after implanting IABP in patients with coronary atherosclerotic heart disease[J];中国心血管病研究;2015-04
2 ZHOU Yi-jun,ZHAO Ya-nan,LIU Ying-feng,MIAO Fei(Cardiovascular Department,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,China);Clinical analysis of thrombocytopenia in patients undergoing intra-aortic balloon pump[J];岭南心血管病杂志;2013-03
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【Co-citations】
Chinese Journal Full-text Database 6 Hits
1 JIANG Zhao-lei;YIN Hang;TANG Min;Department of Cardiothoracic Surgery,Xinhua Hospital Shanghai Jiaotong University,School of Medicine;;Clinical study of thrombocytopenia after implanting IABP in patients undergoing cardiac surgery[J];中国心血管病研究;2018-05
2 Fang Fang;Li Yu;Education Department,Beijing Anzhen Hospital,Capital Medical University;Department of Cardiology,Beijing Anzhen Hospital,Capital Medical University;;Cause analysis of thrombocytopenia in acute heart failure implanted with intra-aortic balloon pump[J];中国医药;2016-06
3 ZHANG Xian-fen;GAO Wen-gen;MENG Hai-ying;Department of Cardiac Surgery,the First Affiliated Hospital of Henan University of Science and Technology;;Clinical analysis of thrombocytopenia after implanting IABP in patients with coronary atherosclerotic heart disease[J];中国心血管病研究;2015-04
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【Secondary Citations】
Chinese Journal Full-text Database 8 Hits
1 ZHOU Yi-jun,ZHAO Ya-nan,LIU Ying-feng,MIAO Fei(Cardiovascular Department,Zhujiang Hospital,Southern Medical University,Guangzhou 510280,China);Clinical analysis of thrombocytopenia in patients undergoing intra-aortic balloon pump[J];岭南心血管病杂志;2013-03
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