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床边应用主动脉内球囊反搏术治疗急性心肌梗死合并心源性休克的体会 被引量:3

Clinical Analysis on the Effect of Intra-aortic Balloon Pump with Acute Myocardial Infarction Accompanied with Cardiogenic Shock
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摘要 目的:探讨对急性心肌梗死(AMI)合并心源性休克患者行主动脉内球囊反搏术(IABP)的安全性及有效性。方法:对8例AMI合并心源性休克患者行IABP。结果:8例患者有5例进行急诊经皮冠状动脉介入术(PCI);1例合并泵衰竭维持3 d后进行PCI;1例维持2 d后冠脉造影血管狭窄<70%,未行PCI;1例冠脉造影后于心外科进行了搭桥手术。8例均痊愈出院。结论:对于AMI合并心源性休克患者,早期床旁应用IABP治疗,为患者赢得了再灌注治疗的时间,减少了心血管不良事件的发生,有效改善了患者的生存率。 Objective:To observe the effect of bedside application of intra- aortic balloon pump (IABP) in patients with acute myocardial infarction complicated with cardiogenic shock. Methods: 8 patients with acute myocardial infarction complicated with cardiogenic shock were included. They were treated with bedside IABP. The successful rate and the complications of the bedside IABP were analyzed. Results: There are 5 patients who were treated with primary percutaneous coronary intervention (PCI). The successful rate of bedside application of IABP were 100 %. All patients were recovery and no one died. Conclusion: The early application of bedside I- ABP is safe and feasible in patients with acute mycardial infarction complicated with cardiogenic shock.
作者 赵瑞平
出处 《内蒙古医学杂志》 2009年第1期54-55,共2页 Inner Mongolia Medical Journal
关键词 主动脉内球囊反搏术 急性心肌梗死 心源性休克 Intra - aortic balloon pump Acute myocardial infarction Cardiogenic shock
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