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目的探讨心源性休克的临床特点及治疗效果。方法对我科自2005年2月至2010年10月期间收治的40例心源性休克患者进行了观察。结果 40例心源性休克中,抢救成功19例,占47.5%。其中,慢性心功能不全急性恶化、扩张型心肌病晚期、高血压性心脏病三者死亡率最高。结论心源性休克病因复杂,临床死亡率高,抢救成功的关键在于及早明确诊断,同时针对不同心脏基础病变,及时、正确实施抢救治疗。
Objective To investigate the clinical features and therapeutic effects of cardiogenic shock. Methods Forty patients with cardiogenic shock admitted to our department from February 2005 to October 2010 were observed. Results Forty cases of cardiogenic shock were successfully treated in 19 cases (47.5%). Among them, acute exacerbation of chronic heart failure, dilated cardiomyopathy late, hypertensive heart disease the highest mortality rate of the three. Conclusions The etiology of cardiogenic shock is complex and the clinical mortality rate is high. The key to the success of emergency rescue lies in the early diagnosis, and the timely and correct rescue treatment based on different heart diseases.