论文部分内容阅读
目的研究分析急性心肌梗死并心源性休克临床特点与治疗效果。方法 30例急性心肌梗死并心源性休克患者,给予阿司匹林、氯吡格雷、低分子肝素、他汀类药物等常规治疗,根据病情变化给予多巴胺、胺碘酮、呼吸机进行辅助通气、主动脉内球囊反搏(IABP)支持等。结果患者采用IABP治疗24例,有创呼吸机治疗10例,经皮冠状动脉介入治疗(PCI)治疗27例,成功抢救22例,抢救成功率为73.3%。结论急性心肌梗死并心源性休克疾病,具有非常高的病死率,应早期诊断该种疾病,积极采取有效的治疗方法 ,预防意外事件的发生,进而降低病死率。
Objective To study the clinical characteristics and therapeutic effect of acute myocardial infarction and cardiogenic shock. Methods Thirty patients with acute myocardial infarction and cardiogenic shock were given routine treatment with aspirin, clopidogrel, low molecular weight heparin and statin. According to the condition, dopamine, amiodarone and ventilator were used to assist ventilation. Balloon Counterpulsation (IABP) support and more. Results The patients were treated with IABP in 24 cases, invasive ventilator in 10 cases and percutaneous coronary intervention (PCI) in 27 cases. 22 cases were successfully rescued, and the rescue success rate was 73.3%. Conclusion Acute myocardial infarction with cardiogenic shock has a very high mortality rate. Early diagnosis of this disease should be taken actively and effective treatment should be taken to prevent the occurrence of accidents and reduce the mortality rate.