应用山莨菪碱抢救心源性休克(附12例临床分析)

Treatment of cardiogenic shock with anisodamine (clinical analysis of 12.cases)/

心源性休克是急症领域最常见的致死因素之一,国外报道其病死率高达80％以上。目前临床采用的内科抢救措施,其成功率多在40％左右。我们采用大剂量山莨菪碱快速静注,抢救心源性休克12例,成功10例,成功率达到83.33％(10/12)。我们在抢救治疗过程中,对山莨菪碱与酚妥拉明二者的疗效进行了对比观察,结果显示前者的效果优于后者。

Cardiogenic shock is one of the most common causes of death in emergency clinic.The mortality rate is about 80% in foreign countries.In our country, by using the ordinary emergency therapeutic measures, the surrival rate is around 40%. We have treated 12 cases of cardiogenic shock with large doses of anisodamine, 10 cases among them surrived the therapeutic effect of anisodamine with phentolamine, and found that the former is better than the latter.