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.
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