中药联合针刺治疗难治性心源性休克验案举隅

Treatment for refractory cardiogenic shock using traditional Chinese herbs combined with acupuncture:Case reports

心源性休克(CS)是急性心肌梗死(AMI)的严重并发症,在现有治疗手段下其病死率仍然很高。笔者运用中药联合针刺治疗了两名AMI并发难治性CS的患者。两名AMI患者在得到包括冠脉血运重建在内的标准西医治疗基础上出现CS,血流动力学均需要在血管活性药物甚至主动脉球囊反博治疗(IABP)的辅助下才能有效维持。经过相似的中药及针刺的治疗方案的实施,患者的休克状态以及远期临床预后均得到了改善。现将验案分享,希望能为难治性CS的中医药治疗提供有价值的临床参考。

Cardiogenic shock(CS)is a serious complication of acute myocardial infarction(AMI)with a high fatality rate with existing treatment methods.Two patients with AMI complicated with refractory CS were treated by traditional Chinese herbs(TCHs)combined with acupuncture.The patients with AMI developed CS while undergoing standard Western medicine treatment,including coronary revascularization;hemodynamics were effectively maintained with the assistance of vasoactive drugs even an intra-aortic balloon pump(IABP).After the implementation of TCHs with similar effects and acupuncture,the shock state and long-term clinical prognosis were improved.The experience will be shared in the hope of providing valuable clinical reference for TCM treatment of refractory CS.