主动脉球囊反搏术治疗急性心肌梗死并心源性休克的疗效观察.docVIP

主动脉球囊反搏术治疗急性心肌梗死并心源性休克的疗效观察 　　【摘要】 目的：探讨IABP术在AMI合并心源性休克患者救治中的应用价值。方法：选择笔者所在医院自2011年1月-2012年12月心内科收治的25例应用IABP支持下行急症PCI治疗的AMI合并心源性休克患者的临床资料。患者确诊后，给予全部患者于心导管室行IABP置入术，再行冠状动脉造影术，及介入治疗。结果：全部患者经治疗后，临床症状逐渐消失，血压、心率、尿量等均较治疗前得到明显改善，术前、术后对比，差异有统计学意义（P0.05），2例患者术后合并并发症，经对症治疗后得到好转，2例患者死亡，临床有效率为92%。结论：AMI合并心源性休克患者应尽量应用IABP治疗。 　　【关键词】 主动脉球囊反搏； 急性心肌梗死； 心源性休克 　　Aortic Balloon Pump Treatment of Acute Myocardial Infarction and Cardiogenic Shock Efficacy/ZOU Qiong-hui，XIN Yi-kang，MA Wei-dong.//Medical Innovation of China，2013，10（15）：037-038 　　【Abstract】 Objective：To explore the application value of IABP combined with cardiogenic shock patients in the treatment of AMI.Method：Clinical data of patients with AMI complicated with cardiogenic shock in 25 cases with IABP in our hospital from 2011 January to 2012 December were treated in Department of Cardiology under the support of emergency PCI treatment.Patients after diagnosis，given all patients in the IABP placement in the cardiac catheterization laboratory，and coronary angiography，and interventional therapy.Result：All the patients after treatment，the clinical symptoms disappeared，blood pressure，heart rate，urine volume than before treatment was obviously improved，compared with preoperative，postoperative，results had significant difference （P0.05），2 patients with postoperative complication，after symptomatic treatment improved，2 patients died，clinical efficiency was 92%.Conclusion：As far as possible application of IABP treatment should be conclusion patients with AMI complicated with cardiogenic shock. 　　【Key words】 Aortic balloon counterpulsation； Acute myocardial infarction； Cardiogenic shock 　　First-author’s address：The First People’s Hospital of Huizhou，Huizhou 516001，China 　　doi：10.3969/j.issn.1674-4985.2013.15.018 　　急性心肌梗死（acute myocardial infarction，AMI）并发心源性休克是心内科较为凶险的临床症状，目前临床多采用主动脉内球囊反搏（intra-aortic balloon pump，IABP）进行抢救治疗[1]。IAPB可明显改善患者血流动力学状况，且为经皮冠状动脉介入术（PCI）赢得宝贵的时间，是治疗急性心肌梗死合并心源性休克的一种有效循环支持方法[2]。本文回顾性总结了2011年1月-20