急诊PCI联合主动脉内球囊反搏对急性心肌梗死合并心源性休克的疗效  

Effects of intra-aortic balloon pump combined with emergency PCI in AMI patients complicated cardiogenic shock

作　　者：李建伟[1] 王曼[1] 谢芳元[1] 董昕[1] 

机构地区：[1]西安市第四医院心内科,陕西西安710004

出　　处：《心血管康复医学杂志》2012年第4期396-398,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨经皮冠状动脉介入治疗(PCI)联合主动脉球囊反搏术(IABP)治疗急性心肌梗死(AMI)心源性休克患者的临床疗效。方法:回顾性分析16例联合IABP行PCI治疗的AMI合并心源性休克患者的临床资料。结果:16例患者均成功置入IABP及行PCI术,IABP使用时间20～190(70.6±37.2)h,3例(18.75%)出现局部穿刺部位出血,经压迫后出血停止,除住院期间死亡1例(6.25%),无重大并发症。结论:对于心源性休克患者,联合主动脉球囊反搏术行经皮冠状动脉介入治疗安全、有效。Objective： To study clinical efficacy of intra-aortic balloon pump（IABP） combined with emergency percutaneous coronary intervention（PCI） in patients with acute myocardial infarction（AMI） complicated cardiogenic shock.Methods： Clinical data of 16 AMI complicated cardiogenic shock patients undergoing PCI combined with IABP were retrospectively studied.Results：All patients successfully underwent IABP and PCI.IABP duration was 20～190（70.6±37.2）h.Bleeding of local puncture sites occurred in three cases（18.75%） and they were stopped after compression.One case（6.25%） died during admission and there were no other severe complications besides one case death.Conclusion： Intra-aortic balloon pump combined with percutaneous coronary intervention is safe and effective in AMI patients with cardiogenic shock.

关 键 词：心肌梗塞 休克 心源性 血管成形术 经腔 经皮冠状动脉 

分 类 号：R542.22[医药卫生—心血管疾病]