主动脉内球囊反搏辅助治疗急性心肌梗死的疗效观察被引量：1

主动脉内球囊反搏辅助治疗急性心肌梗死的疗效观察

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摘要目的评价急性心肌梗死患者应用主动脉内球囊反搏(IABP)辅助治疗的效果。方法收集威海市解放军404医院(2008年1月～2010年12月期间)18例应用IABP的急性心肌梗死患者的临床资料,对比分析IABP的治疗效果。结果总成功率72%,其中13例患者接受IABP治疗后,血流动力学稳定,无一例出现与IABP相关的肢体缺血坏死等严重并发症。死亡5例,其中死于心源性休克者占60%,14例患者均进行了冠脉造影,12例患者在出院前施行了冠脉血管重建。结论早期IABP治疗可以有效地稳定多种高危AMI的血流动力学状态,联合冠脉血管重建治疗可降低死亡率。 Objective To estimate the therapeutic effect of intra-aortic balloon pump （IABP）on serious patients undergoing acute myocardial infarction. Methods The clinical data of all patients with acute myocardial infarction treated with IABP （from January 2008 to December 2010） was collected. The therapeutic effects between before and after IABP was analyzed. Results The total success rate of IABP was 72%, IABP therapy sufficiently stabilize the hemodynamic status of 13 patients, no severe complication as ischemia necrosis occurred in all cases. Diagnostic catheterization was performed in 14 patients Inserted with IABP, and 12 patients underwent coronary revascularization before hospital discharge. Conclusion IABP can effectual stabilize the hemodynamic status in high risk patients with AMI, may reduce mortality in patients with AMI undergoing reperfusion therapy.

作者张杰张新峰

机构地区威海市解放军威海市解放军

出处《当代医学》 2011年第29期82-83,共2页 Contemporary Medicine

关键词主动脉内球囊反搏术心肌梗死 Intra-aortic balloon counter pulsation Myocardial infarction

分类号 R542.22 [医药卫生—心血管疾病]

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