首页> 中文期刊> 《中国医学装备》 >急性心肌梗死伴心源性休克患者应用主动脉内球囊反搏治疗的临床观察

急性心肌梗死伴心源性休克患者应用主动脉内球囊反搏治疗的临床观察

         

摘要

目的:探讨急性心肌梗死(ANI)伴心源性休克患者应用主动脉内球囊反博(IABP)治疗的临床疗效。方法:选取20例急性心肌梗死伴心源性休克患者的临床资料,并进行回顾性分析。所有患者采用主动脉内球囊反博治疗,记录其治疗前后的心脏指数、心率及平均动脉压,分析临床治疗效果。结果:经主动脉内球囊反博治疗4 h后,患者血流动力学明显改善,其中痊愈13例(占65%),自动出院3例(占15%),死亡4例(占20%)。结论:采用主动脉内球囊反博治疗急性心肌梗死伴心源性休克可有效改善患者血流动力学,对提高生存率具有重要意义,值得临床推广应用。%Objective: To study the acute myocardial infarction (ANI) patients with cardiac shock with application of intraaortic balloon against bo (IABP) clinical curative effect of treatment. Methods: To choose in October 2012 to October 2013 on the treatment of 20 cases of patients with acute myocardial infarction associated with cardiac shock, and collected the clinical data were retrospectively analyzed, treatment with the intraaortic balloon against bo, recorded before and after the treatment of cardiac index, as well as heart rate and mean arterial pressure, analysis the clinical therapeutic effect. Results:the intraaortic balloon Po 4 h after treatment, blood flow dynamics in patients with obviously improved, of which 13 patients cured, automatic discharge, 3 patients died in 4 patients. Conclusion: the intraaortic balloon against bo in treatment of acute myocardial infarction patients with cardiac shock can effectively improve.

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