急性心肌梗死并发心源性休克的临床病例回顾

目的分析急性心肌梗死(AMI)并心源性休克的临床特点。方法 100例AMI患者,根据病情分为休克组(20例)与非休克组(80例),对比两组患者的临床特点及抢救效果。结果两组患者年龄、性别、冠状动脉粥样硬化、心肌梗死病史及梗死部位无显著性差异(P>0.05)。与非休克组比较,休克组肌酸磷酸激酶和心肌肌钙蛋白I明显升高(P<O.05),采用溶栓治疗、冠状动脉造影、主动脉内气囊反搏者居多(P<0.05)。结论 AMI合并休克者病情凶险,及时判断、监测及处理,可明显改善患者的预后。

Objective To identify the clinical features and the outcome of patients with cardiogenic shock complicating acute myocardial infarction（AMI）. Methods One hundred patients with AMI were included in this retrospective analysis. The characteristics,management, and outcome of patients with AMI were compared between patients with cardiogenic shock（group A, n=20）and without cardiogenic shock （group B,n=80）. Results There was no difference in the age and other characteristics. The levels of troponin I were were higher than those＂in group B （P〈0.05）, in group A patients often underwent thrombolysis of urokinase; coronary angiography and intra--aortic balloon counterpulsation. Conclusion If cardiogenic shock complicating AMI is managed with rapid evaluation and prompt initiation of supportive measures and definitive therapy, outcomes can be improved.