主动脉球囊反搏在急性下壁心肌梗死合并心源性休克患者的临床应用

Application of Intra-aortic Balloon Counterpulsation in Patients with Cardiogenic Shock Due to Acute Inferior Myocardial Infaretion

目的探讨主动脉球囊反搏(IABP)在急性下壁心肌梗死合并心源性休克患者中的临床应用.方法通过对2011年7月至2014年7月昆明医科大学附属延安医院院急性下壁心肌梗死合并心源性休克患者38例的回顾性分析,比较药物辅助IABP泵治疗前,治疗24小时后,拔泵后HR,EF,CI,SBP,NT-pro BNP值以及临床体征的变化.结果急性下壁心肌梗死合并心源性休克的患者在药物辅助IABP治疗后HR,EF,CI,SBP,NT-pro BNP值较IABP治疗前差异有统计学意义(P<0.05).结论急性下壁合并心源性休克的患者药物辅助IABP治疗,能有效降低死亡率,减少住院天数,提高生存率.

Objective To study application of intra- aortic balloon counterpulsation in patients with cardiogenic shock due to acute inferior myocardial infaretion. Methods The clinical data of 38 patientes with cardiogenic shock due to acute inferior myocardial infaretion were retrospectively analyzed. The change of HR,EF,CI, SBP and NT- pro BNP were compared among before, 24 hours after application of intra- aortic balloon counterpulsation and after IABP.Results Patients after intra- aortic balloon counterpulsation treatment had the higher improvement rate of EF, CI, SBP and lower HR, NT- pro BNP, than before intra- aortic balloon counterpulsation treatment.Conclusion Aapplication of intra- aortic balloon counterpulsation treatment can lower rate of the mortality, raise survival rate,and reduce the average hospitalization days.