主动脉内球囊反搏的临床应用研究

Clinical Study and Analysis of Intra Aortic Balloon Counterpulsation

目的分析主动脉内球囊反搏术治疗急性心梗合并心源性休克的临床效果。方法选择2015年6月—2016年6月我院收治的128例心梗(AMI)合并心源性休克(CS)患者为研究对象,对其使用主动脉内球囊反搏术为基础方式进行治疗,分析患者的临床效果。结果患者使用球囊反搏术时长为25.5~145.2 h。26例使用尿激酶静脉溶栓术治疗,在此其中12例冠脉再通,冠脉造影TIMI 2级以上血流者4例。本组中,有124例患者接受冠状动脉球囊形成手术以及支架术,4例急诊实施CABG术。痊愈者100例,28例抢救无效死亡,成功率为78.13%。结论对于AMI合并CS者,使用IABP支架下治疗,有助于血管重建,提升患者病死率。在此过程中,除了要确保设备正常运行外,也要积极治疗患者的原发性疾病,以取得满意临床效果。

Objective To analyze the clinical effect of intra aortic balloon pump in the treatment of acute myocardial infarction complicated with cardiogenic shock. Methods 128 cases of myocardial infarction from June 2015 to June 2016 in our hospital （AMI） complicated with cardiogenic shock （CS） patients as the research object, the use of intra aortic balloon eounterpulsation based approach to treatment, analyze the clinical effect of patients. Results The duration of balloon counterpulsation was 25.5 to 145.2 h. Thrombolytic therapy was performed in 26 patients, 12 of whom had coronary recanalization, and 4 patients with coronary angiography above 2 TIMI. In this group, 124 patients underwent coronary balloon angioplasty and stenting, and 4 patients underwent emergency CABG surgery. 100 cases recovered, 28 cases died, the success rate was 78.13%. Conclusion For patients with AMI combined with CS, the use of IABP stent treatment is helpful to revascularization, to improve the mortality of patients, and is worthy of further promotion. In addition, in addition to ensuring the normal operation of the equipment, the primary disease of the patient should be treated actively so as to achieve satisfactory clinical results.