主动脉内球囊反搏辅助治疗急性心肌梗死并心源性休克的临床观察

Clinical observation of adjunctive therapy with intra-aortic balloon counterpulsation in acute myocardial infarction with cardiogenic shock

目的观察主动脉球囊反搏辅助治疗急性心肌梗死并心源性休克的临床效果。方法分析30例急性心肌梗死合并心源性休克患者使用主动脉内球囊反搏后的治疗效果。结果 30例患者接受主动脉内球囊反搏(IABP)治疗后,血流动力学稳定,24例进行冠状动脉介入治疗(PCI)及6例溶栓治疗均成功。7例死亡,其中3例发生泵衰竭而死亡,4例出现恶性心律失常而死亡,存活率为76.7%。结论 IABP对血流动力学状态有明显改善,减少心肌梗死再发生率,为PCI治疗赢得时间,有益于提高心肌梗死患者生存率。

Objective To study the clinical effects of the intra-aortic balloon pump support in adjunctive treatment of acute myocardial infarction and cardiac shock.Methods To analyze the treatment of 30 patients with acute myocardial infarction and cardiogenic shock after intra-aortic balloon pump（IABP） therapy.Result The hemodynamics of the 30 patients received IABP was stable,among them,24cases for PCI treatment,6 case with thrombolytic therapy,3 case with pump failure,and 4 case with malignant arrhythmia,at last,the survival rate was 76.7 percent,for the survival in 30 cases,7 deaths.Conclusion The IABP can effectively stabilize hemodynamics,reduce the incidence of re-infarction,gain the time for PCI treatment,improve the survival rate,and it is an effective supplementary treatment.