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主动脉内球囊反搏治疗急性心肌梗塞并心源性休克56例疗效观察 被引量：8

Effect of intra-aortic balloon pump assist treatment on haemodynamics in patients with acute myocardial infarction complicated cardiogenic shock
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摘要 目的:观察主动脉球囊反搏术(IABP)辅助治疗急性心肌梗塞(AMI)合并心源性休克的疗效。方法:对比分析56例AMI合并心源性休克患者应用IABP前后的血液动力学改变。结果:56例AMI合并心源性休克患者接受IABP治疗后血压[收缩压(113.3±17.5)mmHg∶(76.5±15.3)mmHg,舒张压(62.2±10.3)mmHg∶(31.1±10.2)mmHg]、心率[(82±14)次/min∶(118±27)次/min]、心指数[(3.91±1.12)L/min.m2∶(2.03±0.20)L/min.m2]较术前有显著改善(P均<0.01)。结论:对急性心肌梗塞合并心源性休克患者行主动脉球囊反搏术可有效改善血流动力学状态,是有效的辅助治疗手段。 Objective： To observe the effect of intra-aortic balloon pump （IABP） assist treatment on haemodynamics in patients with acute myocardial infarction （AMI） complicated cardiogenic shock. Methods： A total of 56 AMI patients with cardiogenic shock received IABP treatment. The therapeutic effects between before and after IABP was analyzed. Results： Compared with IABP before, the blood pressure ESBP （76.5±15.3） mmHg vs. （113.3±17.5） mmHg, DBP （ 31. 1±10. 2） mmHg vs. （62.2±10.3） mmHg3, heart rate [ （118±27） beat/min vs. （82±14） beat/mini, cardiac index [（2.03±0.20） L/min · m^2 vs. （3.91± 1.12） L/rain · m^2] significantly improved （P〈0.01 all）. Conclusion： IABP could improve bemodynamics, it is an effective adjuvant therapy of AMI with cardiogenic shock.
作者 张爽 李理 黄华
机构地区 辽宁中医药大学附属医院介入中心
出处 《心血管康复医学杂志》 CAS 2010年第4期408-410,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
基金 辽宁省科技计划项目(2009225010-34)
关键词 主动脉 心肌梗塞 休克 心源性 Aorta Myocardial infarction Shock, cardiogenic
分类号 R541.75 [医药卫生—心血管疾病]
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参考文献7

二级参考文献13

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共引文献16

同被引文献58

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引证文献8

二级引证文献45

心血管康复医学杂志
2010年 第4期

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