主动脉内球囊反搏在高危急性心肌梗死患者中的应用  

Application of Intra-aortic Balloon Counterpulsation in Hign Risk Patients with Acute Myocardial Infarction

作　　者：张春红[1] 黄党生[1] 沈东[1] 张丽伟[1] 张许文[1] 罗北捷[1] 

机构地区：[1]解放军总医院第一附属医院心内科,北京100037

出　　处：《医学研究杂志》2009年第7期126-127,共2页Journal of Medical Research

摘　　要：目的评价主动脉内球囊反搏(IABP)在高危急性心肌梗死患者中辅助治疗的作用。方法收集2004年1月～2008年5月期间,解放军总医院第一附属医院心内科所有应用IABP的急性心肌梗死患者的临床资料,分析IABP的治疗效果。结果23例高危AMI患者接受IABP治疗,16例患者接受IABP治疗后,血流动力学稳定。17例患者成功行PCI术。死亡7例,病死率30.4%。结论对于高危AMI合并血流动力学不稳定或心源行休克的患者,IABP可以有效地稳定血流动力学状态,降低病死率,改善心功能。Objective To evaluate the role of intra - aortic balloon pumping（IABP） in high risk patients with acute myocardial （AMI）. Methods The clinical data of all patients with acute myocardial infarction treated with IABP admitted into the first affiliated hospital to PLA General Hospital from January 2004 to May 2008 was collected. The efficacy of the IABP was evaluated. Results A total number of 23 patients with acute myocardial infarction were treated with IABP. 17patients received revascularization therapy. Death rate was 30.4%. Conclusion IABP is safe in high risk patients with AMI who represented poor hemodynamic status or cardiogenic shock,and it can sufficiently stablieze the hemodynamic status,improve cardiac function and can decrease in - hospital mortality.

关 键 词：主动脉内气囊反搏 心肌梗死 心源性休克 

分 类 号：R654.2[医药卫生—外科学] R473.5[医药卫生—临床医学]