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目的:观察中西医结合治疗急性右心室心肌梗死(ARVI)33例的临床疗效。方法:将33例患者分为气阴不足型18例,阴阳耗竭型15例。在规范西医常规治疗基础上,如低血容量者快速扩容,心动过缓者安装临时起搏器,符合时间窗及指征者予介入或溶栓治疗,口服药物AABC治疗方案,结合中成药参麦注射液、参附注射液及生脉散加味、四逆汤加味煎服等治疗。结果:心功能恢复到KillipⅡ级及以上者30例,行溶栓治疗12例,无1例死亡,行介入治疗者18例,无1例死亡,行介入治疗患者心功能改善状况最佳。结论:中西医结合治疗治疗急性右心室心肌梗死疗效满意。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of 33 cases of acute right ventricular myocardial infarction (ARVI). Methods: 33 cases were divided into qi and yin deficiency in 18 cases, yin and yang exhausted in 15 cases. On the basis of regulating conventional treatment of western medicine, such as rapid expansion of hypovolemia, temporary bradycardia with bradycardia, interventional or thrombolytic therapy in accordance with time window and indications, oral AABC treatment regimen, combined with proprietary Chinese medicine Mai injection, Shen Fu injection and Shengmai San flavored, Sini Tang decoction Jianfu treatment. Results: Thirty patients with Killip class Ⅱ and above recovered to cardiac function. Thrombolytic therapy was performed in 12 patients. None of them died. There were 18 patients who were treated with interventional therapy. None of them died. Patients with interventional therapy showed the best cardiac function improvement. Conclusion: Integrative treatment of acute right ventricular myocardial infarction with satisfactory results.