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老年人急性冠脉综合征合并心源性休克的治疗是临床十分棘手的问题,药物治疗方面的临床研究极为有限。再灌注治疗方面,经过筛选的老年人早期进行血运重建对于预后有着积极的意义,即使不适宜介入治疗的患者接受适当的溶栓治疗方案总体结局也要优于药物保守治疗。主动脉内球囊反搏术在急性冠脉综合征合并心源性休克老年患者中的应用尚需谨慎。尽管新型循环辅助装置尽管显示了良好的前景,但在老年人中的应用还有待进一步研究和完善。
The treatment of elderly patients with acute coronary syndrome complicated by cardiogenic shock is a very difficult problem in clinical practice. Clinical research in the field of drug treatment is very limited. In reperfusion therapy, the early revascularization of selected elderly patients has a positive prognosis. Even patients who are unsuitable for interventional therapy receive better overall thrombolysis outcomes than conservative drug treatment. Intra-aortic balloon pump in acute coronary syndrome complicated with cardiogenic shock in elderly patients need to be cautious. Although new circulatory aids have shown promising prospects, their use in the elderly remains to be further studied and refined.