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主动脉球囊反搏术在急性心肌梗死合并心源性休克患者冠脉介入术中的应用 被引量：5

Application of intra-aortic balloon pump in acute myocardial infarction complicated with cardiogenic shock undergoing percutaneous coronary intervention
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摘要 目的分析和评价主动脉内球囊反搏(IABP)在急性心肌梗死(AMI)合并心源性休克患者治疗中的应用效果。方法从2003年1月1日至2007年12月31日收集在IABP支持下行冠脉介入治疗的AMI合并心源性休克患者36例,应用统计学方法分析IABP的治疗效果。结果应用IABP治疗合并心源性休克的AMI患者可使患者的心率、血压趋于稳定,即刻病情改善率为50%。30d、3个月的病死率分别为41.7%,47.2%。结论应用IABP支持AMI合并心源性休克患者的冠脉介入治疗安全、有效。 Objective To analyze and evaluate the role ofintra-aortic balloon pump （IABP） in patients with acute myocardial infarction （AMI） complicated by cardiogenic shock （CS） undergoing percutaneous coronary intervention. Methods The clinical data of 36 patients with AMI complicated by CS from January 1st 2003 to December 31st 2007 were collected. The treatment effects of IABP were analyzed with statistical methods. Results IABP threatment can markedly restore heart rate and blood pressure, with stable short-term condition of the patient reaching 50%. The mortalities of 30-day and 3-month were 41.7% and 47.2%, respectively. Conclusion Application of IABP in AMI complicated by CS undergoing PCI is safe and effective.
作者 王成碧 顾俊 胡伟 肖红兵 冯小弟 余强 金贤 尹桂芝 陈诚军 陈跃光 张大东
机构地区 上海闵行区中心医院ICU科 上海闵行区中心医院心内科
出处 《介入放射学杂志》 CSCD 2008年第10期697-699,共3页 Journal of Interventional Radiology
关键词 主动脉内球囊反搏术 急性心肌梗死 心源性休克 Intra-aortic balloon pump Acute myocardial infaction Cardiogenic shock
分类号 R542.22 [医药卫生—心血管疾病]
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参考文献11

  • 1Hochman JS, Buller CE, Sleeper LA, et al. Cardiogenic shock complicating acute myocardial infarction-etiologies, management and outcome: a report frmn the SHOCK trial registry [J]. J Am Coil Cardiol, 2000, 36:1063 - 1070.
  • 2王新刚,陈明,霍勇.主动脉内球囊反搏在急性心肌梗死治疗中的应用[J].中国介入心脏病学杂志,2007,15(6):332-334. 被引量：15
  • 3Antman EM, ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction) [J ]. Circulation, 2004, 110 : e82 - 92.
  • 4Sanborn TA, Sleeper LA, Bates ER, et al. Impact of thrombolysis, intra-aortic balloon pump counterpulsation, and their combination in cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize Occluded Coronaries for cardiogenic shocK?[J]. J Am Coll Cardiol, 2000, 36:1123 - 1129.
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二级参考文献14

  • 1潘家华,王涛,喻卓,郭涛,刘红明,周学才.主动脉内球囊反搏治疗在高危冠心病中的应用[J].云南医药,2006,27(2):97-100. 被引量：4
  • 2Wong SC, Sanborn, T, Sleeper, LA, et al. Angiographic findings and clinical correlates in patients with cardiogenic shock complicating acute myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revasculaxize occluded coronaries for cardiogenic shack? J Am Coll Cardiol, 2000, 36 : 1077.
  • 3Gregg W, Stone E. Staman, et al. Contemporary utilization and outcomes of intra-aortic balloon counterpulsation in acute myocardial infarction: The benchmark registry. JACC, 2003, 41: 1940-1945.
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  • 5Goldberg RJ, Gore JM, Alpert JS, et al. Cardiogenic shock after acute myocardial infarction:Incidence and mortality from a community wide perspective, 1975-1988. N Engl J Med,1991,325 : 1117-1122.
  • 6Urban PM, Freedman RJ, Ohman EM, et al. In-hospital mortality associated with the use of intra-aortic balloon counterpulsation. Am J Cardiol, 2004,94:181-185.
  • 7Ferrari M, Feigulla HR. Circulatory assist devices in cardiology. Dtsch Med Wochenschr,2005 ,130 :652.
  • 8lakobishvili Z, Behar S, Boyko V, et al. Does current treatment of cardiogenic shock complication the acute coronary syndromes comply with guidelines? Am Heart J ,2005,149:98.
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  • 10Urban PM, Freedman RJ, Ohman EM, et al. In-hospital mortality associated with the use of intra-aortic balloon counterpulsation. Am J Cardiol,2004,94 : 181.

共引文献14

同被引文献37

引证文献5

二级引证文献18

介入放射学杂志
2008年 第10期

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