Résumé
Objective To evaluate the effectiveness of mild hypothermia and the intra-aortic balloon pump (IABP) in postcardiac surgical patients with severe heart failure. Methods Twelve patients took combination therapy of IABP and mild hypothermia after cardiac surgery, which did not improve the low cardiac output with massive doses of catecholamine, were included in this study. The values of cardiac index (CI), mixed venous oxygen saturation (SvO2), urine volume and creati-nine (Cr) were measured before and after treatment. Results After combination therapy of IABP and mild hypothermia, the value of CI was improved obviously [L/(min·m2):2.4±0.5 vs 1.6±0.2], the value of SvO2 increased (0.65±0.07 vs 0.52±0.05 ), urine output increased obviously [mL/(kg·h):2.9±1.9 vs 1.2±0.9 ] and the value of Cr decreased obviously (mmol/L:95±10 vs 282±25 ). Conclusion The combination therapy of mild hypothermia and IABP is an effective and simple procedure for the postcardiac surgical patients with severe heart failure.
Résumé
To direct teaching reform of pathophysiology and match the demands of the new situation,a questionnaire survey was performed among graduates from 2002 to 2007.According to the analysis,teaching quality has been examined,and moreover,the deficiency in the process was also found.With the feedback and assessment for knowledge abilities,professional skills,scientific research,mental qualities,humanity qualities,the levels of pathophysiology course and teacher's performance,an important reference has been provided for the further teaching reform.