CAJ | 학술논문

目的：探讨主动脉内气囊反搏术（IABP）治疗急性心肌梗死（AMI）合并心源性休克（CS）患者的疗效。方法选择贵州省人民医院29例急性心肌梗死合并心源性休克患者，观察应用IABP辅助治疗前后患者收缩压、舒张压、平均动脉压和心率的变化及IABP相关并发症。结果患者治疗前与治疗后3d的收缩压、舒张压、平均动脉压和心率，差异有统计学意义（ P ＜0．05）。IABP 相关并发症3例，无严重并发症。结论 AMI合并心源性休克患者应尽量应用IABP辅助治疗。
목적：탐토주동맥내기낭반박술（IABP）치료급성심기경사（AMI）합병심원성휴극（CS）환자적료효。방법선택귀주성인민의원29례급성심기경사합병심원성휴극환자，관찰응용IABP보조치료전후환자수축압、서장압、평균동맥압화심솔적변화급IABP상관병발증。결과환자치료전여치료후3d적수축압、서장압、평균동맥압화심솔，차이유통계학의의（ P ＜0．05）。IABP 상관병발증3례，무엄중병발증。결론 AMI합병심원성휴극환자응진량응용IABP보조치료。
Objective To explore curative effects of IABP in patients suffering from AMI combined with cardiogenic shock .Methods 29 cases of AMI combined with cardiogenic shock were treated with IABP as an accessory therapy .Subsequently ,systolic pressure ,diastolic pressure ,average arterial pressure ,heart rate ,and postoperative complication were observed before and after taking IABP .Results The systolic pressure ,diastolic pressure ,average arterial pressure ,and heart rate after taking IABP had significant difference( P <0 .05)when compared with those in the preoperation .3 patients were detected with postop-erative complication and no severe ones were observed .Conclusion IABP treatment should be used as an ac-cessory therapy in AMI patients complicated with cardiogenic shock .