急性心肌梗塞并发心源性休克相关因素的探讨

A Study on Relative Factors of Acute Myocardial Infarction Complicated with Cardiogenic Shock

回顾性分析５１例急性心肌梗塞患者并发心源性休克的相关因素，发现有８项因素与之密切相关，且相关因素越多，并发心源性休克的发生率越高，此８项相关因素可作为急性心梗并发心源性休克的预报指标，Ａ组１６例并发心源性休克，３周内死亡５例，Ｂ组３５例未并发心源性休克，３周内无１例死亡，Ｂ组溶栓再通率（６０％）显著高于Ａ组（２５％）Ｐ＜０．０１，认为冠脉早期再通可以降低急性心梗并发心源性休克的发生率，亦能提高急性心梗患者的生存率．

Retrospective study of relative factors of acute myocardial infarction(AMI)complicated with cardiogenic shock in 51 patients,treated with thrombelysis is reported.The result showed that eight factors have close relationship with cardiogenic shock.The more were the relative factors,the higher was the incidence of cardiogenic shock.Eight factors may be the predictive factors for cardiogenic shock in AMI. In 16 patients with cardiogenic shock in group A,6 patients died in three weeks.Thirty five patients without cardiogenic shock in group B, none died in three weeks. The rate of reperfusion recanalization by thrombolysis in group B(60%)was significantly higher than in group A(25 %),P<0. 01.We conclude that early perfusion reduce the incidence of cardiogenic shock and increase the survival rate in patients with AMI,complicated with cardicaenic shock.