【摘要】 目的:探讨经皮冠状动脉介入治疗(PCI)联合主动脉球囊反搏术(IABP)治疗急性心肌梗死(AMI)心源性休克患者的临床疗效。方法:回顾性分析16例联合IABP行PCI治疗的AMI合并心源性休克患者的临床资料。结果:16例患者均成功置入IABP及行PCI术,IABP使用时间20～190(70.6±37.2)h,3例(18.75%)出现局部穿刺部位出血,经压迫后出血停止,除住院期间死亡1例(6.25%),无重大并发症。结论:对于心源性休克患者,联合主动脉球囊反搏术行经皮冠状动脉介入治疗安全、有效。更多还原

【Abstract】 Objective: To study clinical efficacy of intra-aortic balloon pump(IABP) combined with emergency percutaneous coronary intervention(PCI) in patients with acute myocardial infarction(AMI) complicated cardiogenic shock.Methods: Clinical data of 16 AMI complicated cardiogenic shock patients undergoing PCI combined with IABP were retrospectively studied.Results:All patients successfully underwent IABP and PCI.IABP duration was 20～190(70.6±37.2)h.Bleeding of local puncture sites occurred in three cases(18.75%) and they were stopped after compression.One case(6.25%) died during admission and there were no other severe complications besides one case death.Conclusion: Intra-aortic balloon pump combined with percutaneous coronary intervention is safe and effective in AMI patients with cardiogenic shock.更多还原