摘要
目的探讨主动脉内球囊反搏(IABP)救治急性心肌梗死(AMI)心源性休克失败的原因。方法回顾42名接受IABP治疗的AMI心源性休克患者,记录所有患者的转归,对不同死亡原因进行分析。结果本文患者总死亡率为52%,其中死于心源性休克者占50%;死于重症感染和多器官功能衰竭者占36%。结论心源性休克及重症感染和多器官功能衰竭是应用IABP治患者死亡的主要原因。
Objective To survey the reasons of failure in the treatment of acute myocardial infarction(AMI) patients with cardiogenic shock by intra -aortic balloon counterpulsation ( IABP). Methods The clinical data of 42 AMI patients with cardiogenic shock treated by IABP were retrospectively studied, The outcomes of all patients were recorded, and the death reasons were analyzed. Results The total mortality was 52% ,among which 50% patients died from cardiogenic shock,and 36% from severe infection and multiple organ failure. Conclusions Cardiogenic shock as well as severe infection and multiple organ failure consist of the commonest causes of death in AMI patients with cardiogenic shock received IABP.
出处
《实用全科医学》
2008年第2期138-139,共2页
Applied Journal Of General Practice
关键词
主动脉内球囊反搏
急性心肌梗死
心源性休克
Intra-aortic balloon counterpulsation
Acute myocardial infarction
Cardiogenic shock