论文部分内容阅读
目的分析和评价主动脉内球囊反搏(IABP)在急性心肌梗死(AMI)合并心源性休克患者治疗中的应用效果。方法从2003年1月1日至2007年12月31日收集在IABP支持下行冠脉介入治疗的AMI合并心源性休克患者36例,应用统计学方法分析IABP的治疗效果。结果应用IABP治疗合并心源性休克的AMI患者可使患者的心率、血压趋于稳定,即刻病情改善率为50%。30d、3个月的病死率分别为41.7%,47.2%。结论应用IABP支持AMI合并心源性休克患者的冠脉介入治疗安全、有效。
Objective To analyze and evaluate the effect of intra-aortic balloon pump (IABP) in the treatment of patients with acute myocardial infarction (AMI) complicated with cardiogenic shock. Methods From January 1, 2003 to December 31, 2007, 36 patients with AMI complicated with cardiogenic shock undergoing PCI under IABP were enrolled in this study. The clinical efficacy of IABP was analyzed statistically. Results The application of IABP in patients with AMI complicated with cardiogenic shock stabilized the heart rate and blood pressure of the patients, and the rate of immediate improvement was 50%. The mortality rates at 30 days and 3 months were 41.7% and 47.2% respectively. Conclusion The application of IABP to coronary artery intervention in patients with AMI and cardiogenic shock is safe and effective.