现阶段心血管重症病房心源性休克患者的住院存活情况分析  

Analysis on hospitalization survival in patients with different etiologies of cardiogenic shock in current stage cardiovascular ICU

作　　者：魏宇淼[1] 陈芬[1] 杨仕俊[1] 程翔[1] 王祥[1] 廖玉华[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院心血管病研究所,武汉430022

出　　处：《重庆医学》2015年第26期3644-3646,共3页Chongqing medicine

基　　金：国家自然科学基金资助项目(81470483)

摘　　要：目的探讨在现有积极医疗措施下,心血管重症病房心源性休克患者的病因类型及不同病因类型的住院存活率。方法收录该院心血管重症病房明确诊断的心源性休克患者131例,根据病因分类,记录不同病因构成比及不同病因类型的患者在积极医疗措施下的住院存活率,分析其存活率差异。结果心血管重症病房心源性休克的平均存活率为52.7%,但不同病因组的存活率差异巨大,急性右室梗死组、急性大面积肺栓塞组、暴发性心肌炎组存活率显著高于平均存活率,主动脉夹层组、心肌梗死机械性并发症组、心肺复苏术后组显著低于平均存活率。结论在现有积极医疗措施下,心源性休克患者的死亡率仍然很高,但不同病因类型心源性休克患者院内存活率差异巨大,对心源性休克患者的细致病因分析有助于院内存活的准确判断。Objective To explore the hospitalization survival rate of the patients with different etiologies of cardiogenic shock under the existing active medical measures in cardiovascular intensive care unit（ICU）. Methods one hundred and thiry-one patients with cardiogenic shock from cardiovascular ICU of our hospital were collected and divided into different groups according to the eti- ology. The constituent ratio of different etiologies and the hospitalization survival rate under active medical measures were recorded. The survival difference was analyzed. Results The average survival rate of cardiogenic shock in cardiovascular ICU was 52.7 %, but there were great differences in different etiology groups. The survival rate of the acute right ventricular infarction group, acute mas-- sive pulmonary embolism group and fulminant myocarditis group were significantly higher than the average survival rate, while which of the aortic dissection group, myocardial infarction with mechanical complications group, postcardiopulmonary resuscitation group was significantly lower than the average survival rate. Conclusion Under the current active medical measures, the mortality rate of the patients with cardiogenic shock is still very high,but which in different etiology types has great differences. The careful analysis on the etiology in the patients with cardiogenic shock is useful to evaluate accurately the hospitalization survival.

关 键 词：休克 心源性 病因类型 院内存活 

分 类 号：R541.64[医药卫生—心血管疾病]