摘要
目的 :分析院外救治急性心肌梗塞 (AMI)合并休克患者 71例临床特点。方法 :全部患者分别采取镇静止痛 ,补液并给予小剂量多巴胺 (0 .1m g/ min～ 0 .4mg/ min)静脉点滴 ,纠正心律失常。结果 :治疗有效 39例 ,有效率为 5 4.9%。院外治疗时间均少于 80 min。其中血压恢复正常 ,休克状态缓解 2 1例 ,占 2 9.6 %。无效 32例 ,院外死亡 12例。结论 :经院前早期积极抢救 ,可使部分 AMI合并休克的患者休克状态在院外得到改善或缓解 ,避免血液动力学的恶性循环 。
Objective:Analyze the characteristic of 71 cases of AMI with shock rescued by our department out of hospitals.Methods:All the patients were differently treated with sedation,fluid infusion and little Dopamine iv,Whose abnormal heart rhythm should be corrected then.Results:Effect 39 cases,effective rate:54.9 %.The time of treatment <80 minutes out of hospitals.After the treatment,the BP of 21 cases returned to normal level and the shock disappeared at the same time.Failure:32 cases,death out of hospitals:12 cases.Conclusion:If treatment can be given timely off hospital,the complicated with shock,which AMI patients would recover soon and the bad circulation can be improved.At the same time,the good foundation has been done for the further treatment of thrombolytic therapy.
出处
《山西临床医药》
2001年第8期563-565,共3页
Shanxi Clinical Medicine
