摘要
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.
作者
李享
刘红旭
佘靖
蒋燕君
尚菊菊
刘超
LI Xiang;LIU Hong-xu;SHE Jing;JIANG Yan-jun;SHANG Ju-ju;LIU Chao(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第7期3850-3854,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
第六批北京市级中医药专家学术经验继承工作,国家中医药管理局中医药循证能力建设项目(No.2019XZZX-XXG001)
北京市医院管理局重点医学专业发展计划(No.ZYLX201817)。
关键词
心源性休克
中医药
针灸
急性心肌梗死
医案
Cardiogenic shock
Traditional Chinese Medicine
Acupuncture
Acute myocardial infarction
Medical record