【摘要】 目的研究主动脉气囊反搏(IABP)联合急诊经皮冠状动脉介入治疗(PCI)对急性心肌梗死合并心源性休克的疗效。方法比较24例患者急性心肌梗死合并心源性休克治疗前后的心脏指数(CI)、中心静脉压(CVP)、平均动脉压(MAP)和小时尿量变化。结果接受IABP联合PCI治疗后,患者的CVP治疗前后明显降低(10.1±6.6)mm Hg vs(4.2±3.9)mm Hg(P<0.05),而CI、MAP和每小时尿量均较治疗前明显增加,分别为(2.4±1.3)L.min.m2vs(1.4±0.8)L.min.m2,(89.2±12.7)mm Hg vs(52.6±14.3)mm Hg,(48.3±13.8)ml/h vs(10.6±5.9)ml/h(P<0.05)。结论对于急性心肌梗死并发心源性休克的患者,IABP联合急诊PCI治疗,疗效确切。这对不能开展急诊冠状动脉旁路手术的医院,IABP联合急诊PCI治疗具有特殊的临床意义。更多还原

【Abstract】 Objective To study the efficiency of intra-aortic balloon pump(IABP) combined with emergency percutaneous coronary intervention(PCI) in patients with acute myocardial infarction complicated with cardiogenic shock.Methods The study included 24 cardiogenic shock patients who received IABP and emergency PCI.,cardiac index(CI),central venous pressure(CVP),mean arterial pressure(MAP) and urinary production per hour were analyzed before and after therapy.Results After the therapy,the levels of CVP significantly descended,(4.2±3.9) mm Hg vs(10.1±6.6) mm Hg(P<0.05);CI,MAP and urinary production per hour significantly increased(2.4±1.3) L·min-1·m-2vs(1.4±0.8) L·min-1·m-2;(89.2±12.7) mm Hg vs(52.6±14.3) mm Hg;(48.3±13.8) ml/h vs(10.6±5.9)ml/h(P< 0.05).Conclusion IABP combined with emergency PCI has definite effects on patients with AMI complicated with cariogenic shock,especially in hospitals without emergency coronary artery bypass grafting.更多还原