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目的观察床边行主动脉球囊反搏在抢救老年心源性休克患者治疗过程中的效果。方法 15例老年心源性休克患者在床边行主动脉球囊反搏,收集IABP治疗前后平均动脉压、尿量、心率、多巴胺的剂量结果进行比较。结果 15例患者IABP治疗前后平均动脉压、尿量、心率、多巴胺的剂量进行配对t检验,差异有统计学意义。结论床边IABP对于老年心源性休克的患者具有确实、有效的治疗作用。能在应用后很快增加冠脉循环的灌注压、提高平均动脉压,改善心肌供血及血流动力学状态。
Objective To observe the effect of bedside aortic balloon pump in the treatment of elderly patients with cardiogenic shock. Methods Fifteen elderly patients with cardiogenic shock underwent aortic balloon pump at bedside. The mean arterial pressure, urine output, heart rate and dopamine dose before and after IABP treatment were compared. Results The mean arterial pressure, urine output, heart rate and dopamine dose of 15 patients before and after IABP treatment were tested by paired t test, the difference was statistically significant. Conclusion Bedside IABP has definite and effective therapeutic effect on elderly patients with cardiogenic shock. Can soon after application of perfusion pressure of coronary circulation, increase the average arterial pressure, improve myocardial blood supply and hemodynamic status.