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急性心肌梗死(AMI)伴心源性休克多见于起病后效小时内,早期鉴定高危险病例并予以积极治疗(急诊外科手术、冠脉成形术、机械性循环辅助等),可能提高存活率。顺序入院的5839例AMI,入院后共371例(6.4％)发生心源性休克。其中入院时无心衰者共3465例(59％),入院后共89例(2.6％)发生心源性休克,占全部休克的24％(89/371例);从入院至休克平均4.4日(3小时至16日),66％休克发生于入院24h后。入院时无心衰的AMI患者发生休克的
Acute myocardial infarction (AMI) with cardiogenic shock is more common in the first hour after onset, and early identification of high-risk cases and aggressive treatment (emergency surgery, coronary angioplasty, mechanical circulation, etc.) may improve survival . A total of 5839 patients with AMI admitted to hospital were admitted to hospital, 371 patients (6.4%) had cardiogenic shock. Among them, 3465 cases (59%) had no heart failure on admission, and 89 cases (2.6%) had cardiogenic shock after admission, accounting for 24% (89/371 cases) of all shocks. From admission to shock, an average of 4.4 days (3 hours to 16 days) and 66% of shock occurred 24 hours after admission. AMI patients without heart failure on admission have a shock