主动脉内球囊反搏在急性心肌梗死合并心源性休克中的应用  

Application of intra-aortic balloon pump in acute myocardial infarction complicated with cardiogenic shock

作　　者：刘颖[1] 刘心甜[1] 沈菲[1] 智红[1] 王琳[2] 

机构地区：[1]武汉亚洲心脏病医院,武汉420022 [2]华中科技大学同济医学院附属同济医院

出　　处：《内科急危重症杂志》2013年第4期210-211,219,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的：探讨主动脉内球囊反搏（IABP）在急性心肌梗死（AMI）合并心源性休克中的应用价值。方法：收集88例AMI合并心源性休克患者的临床资料，其中50例行IABP，38例药物治疗，回顾性分析88例患者的治疗效果及安全性。结果：对于AMI并心源性休克患者，应用IABP后可改善血流动力学，使患者的收缩压、心率趋于稳定，左心室射血分数（LVEF）有明显改善，与非IABP组比较，差异有统计学意义（P〈0．05）；IABP组住院生存时间优于非IABP组（RR=0．402，95％CI：0．175～0．921，P=0．031）。肢体缺血与出血的发生率2组无统计学差异（P〉0．05）。结论：对于AMI合并心源性休克的患者，行IABP辅助循环，可改善血流动力学，改善住院生存时间，且相对安全。Objective： To evaluate the effect of intra-aortic balloon pump （IABP） in acute myocardial infarction （AMI） complicated with cardiogenie shock. Methods： Clinical data of 88 patients with AMI complicated with cardiogenic shock were collected, 50 patients receiving IABP support while 38 patients receiving drug treatment. The therapeutic effect and safety were analyzed retrospectively. Results： Stabilization of patients/systolic blood pressure and heart rate, improve- ment of LVEF were found in IABP group and were more significant when compared with those without IABP （ P 〈 0.05 ） , and the survival time in hospital was superior in patients with IABP than those without IABP （ RR =0. 402, 95% C1：0. 175 -0. 921 ,P =0. 031 ）. The incidence of limb ischemia and bleeding showed no significant difference in two groups. Con- clusions： IABP support ean improve hemodynamic and the survival time in hospital for patients with AMI complicated with cardiogenic shock, and it is safe.

关 键 词：急性心肌梗死 心源性休克 主动脉内球囊反搏 

分 类 号：R542.2[医药卫生—心血管疾病]