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心源性休克是心肌梗塞的常见并发症,约占15％以上。特别是梗塞面积超过40％时最易发生。现就抢救成功一例讨论如下。患者顾××,男,46岁,技术员,住院号335520。1978年曾因心肌梗塞住院两次。1980年1月1日又因广泛性急性前间壁心肌梗塞再次入院。入院后经监护、输氧、极化液、重碳酸钠、丹参、生脉针、尿激酶、抗感染等治疗。心电图多次报告:亚急性前壁心梗,左前分支阻滞。超声心动图报告:左右心室内径稍增大;纵轴连续扫查:在二区室隔有节段性改变,未见积液,符合前间壁心肌梗塞。经三个
Cardiogenic shock is a common complication of myocardial infarction, accounting for more than 15%. Especially when the infarction area exceeds 40%, it is most likely to occur. A successful case of rescue is discussed below. Patients Gu × ×, male, 46 years old, technician, hospital number 335520. 1978 was hospitalized for myocardial infarction twice. January 1, 1980 was again due to extensive acute anterior myocardial infarction re-admission. Admission after monitoring, oxygen, polar fluid, sodium bicarbonate, Salvia, Shengmai needle, urokinase, anti-infection treatment. Multiple ECG reports: subacute anterior myocardial infarction, left anterior branch block. Echocardiography report: a slight increase in left ventricular diameter; continuous vertical axis scan: segmental segmental change in the two districts, no effusion, in line with anterior myocardial infarction wall. After three