主动脉内球囊反搏术治疗急性冠脉综合征伴心源性休克的应用  

Application of intra-aortic balloon counterpulsation in patients with acute coronary syndrome complicated cardiogenic shock

作　　者：朱洁莹[1] 刘丽军[1] 信栓力[1] 常超[1] 马燕霞[1] 赵秀峰[1] 韩丽英[1] 李敏[1] 张兰华[1] 刘桂兰[1] 

机构地区：[1]邯郸市第一医院心内科,河北邯郸056002

出　　处：《心血管康复医学杂志》2013年第5期497-499,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:评价急性冠脉综合征(ACS)合并心源性休克的患者行冠脉介入治疗辅以主动脉内球囊反搏(IABP)术的安全性及有效性。方法:40例ACS合并心源性休克患者,行冠脉介入治疗辅以主动脉内球囊反搏(IABP)术,观察其临床效果及安全性。结果:40例ACS患者经冠脉介入及IABP治疗后,35例存活患者主动脉内收缩压、舒张压显著升高,分别由术前(82.54±5.35)mmHg、(50.34±3.57)mmHg上升至术后(95.11±6.87)mmHg、(80.39±4.86)mmHg(P均<0.01)。临床症状明显好转,血流动力学显著改善。结论:急性冠脉综合征合并心源性休克患者行冠脉介入治疗时,联合应用主动脉内球囊反搏,可增加冠脉介入治疗安全性,降低病死率,提高手术成功率。Objective： To evaluate the safety and efficacy of percutaneous coronary intervention （PCI） with intra-aortic balloon counterpulsation （IABP） in patients with acute coronary syndrome （ACS） complicated eardiogenic shock （CS）. Methods： A total of 40 ACS ＋ CS patients received PCI supplemented by IABP. Its clinical effect and safety were observed. Results： After PCI and IABP treatment, aortic systolic blood pressure and diastolic blood pressure significantly increased [from preoperative （82.54 ± 5.35） mmHg, （50.34 ± 3.57） mmHg to postoperative （95.11 ± 6. 87） mmHg, （80.39 ± 4. 86） mmHg respectively], P〈0.01 both in 35 survived patients. Their clinical symptoms and hemodynamics significantly improved. Conclusion： Combined application of IABP during PCI can in- crease success rate, safety of PCI and decrease mortality rate in patients with ACS complicated cardiogenic shock.

关 键 词：冠状动脉疾病 休克 心源性 血管成形术 经腔 经皮冠状动脉 主动脉内气囊泵 

分 类 号：R541.4[医药卫生—心血管疾病]