论文部分内容阅读
目的:观察IABP在急性心肌梗死合并心源性休克患者治疗过程中的效果。方法:41例急性心肌梗死心源性休克患者行IABP,并收集IABP治疗前后血流动力学参数及血管活性药物的剂量结果进行比较。结果:通过对32例存活的患者IABP治疗前后平均血流动力学参数并多巴胺的剂量进行配对t检验,差异有统计学意义。结论:IABP对于急性心肌梗死合并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 IABP in the treatment of patients with acute myocardial infarction complicated with cardiogenic shock. Methods: IABP was performed in 41 patients with cardiogenic shock of acute myocardial infarction. The hemodynamic parameters and the dosage of vasoactive drugs before and after IABP were collected. Results: There was significant difference between the mean hemodynamic parameters before and after IABP treatment and the dose of dopamine paired t test in 32 surviving patients. Conclusion: IABP has a definite and effective therapeutic effect on patients with acute myocardial infarction complicated 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.