CAJ | 학술논문

目的：探讨主动脉内球囊反搏治疗心肌梗死合并心源性休克的临床价值。方法选取本院收治的80例心肌梗死合并心源性休克患者作为研究对象，随机分为两组，各40例，观察组采用主动脉内球囊反搏，对照组采用急诊心脏介入溶栓治疗，比较两组治疗后的心排血量、平均动脉压变化情况及治疗后出血相关并发症。结果观察组心排血量、平均动脉压显著高于对照组，差异有统计学意义(P<0.05)，观察组消化道出血、皮下血肿及泌尿道出血的发生率显著低于对照组，差异有统计学意义(P<0.05)。结论主动脉内球囊扩张能有效提高心肌梗死合并心源性休克患者的心排血量及动脉血压，减少出血相关并发症，值得临床重视。
목적：탐토주동맥내구낭반박치료심기경사합병심원성휴극적림상개치。방법선취본원수치적80례심기경사합병심원성휴극환자작위연구대상，수궤분위량조，각40례，관찰조채용주동맥내구낭반박，대조조채용급진심장개입용전치료，비교량조치료후적심배혈량、평균동맥압변화정황급치료후출혈상관병발증。결과관찰조심배혈량、평균동맥압현저고우대조조，차이유통계학의의(P<0.05)，관찰조소화도출혈、피하혈종급비뇨도출혈적발생솔현저저우대조조，차이유통계학의의(P<0.05)。결론주동맥내구낭확장능유효제고심기경사합병심원성휴극환자적심배혈량급동맥혈압，감소출혈상관병발증，치득림상중시。
Objective To explore the value of intra-aortic balloon pump in the treatment of myocardial infarction com-bined with cardiogenic shock. Methods 80 cases with myocardial infarction combined with cardiogenic shock were se-lected and randomly divided into two groups,40 cases in each group.The observation group were used intra-aortic bal-loon pump,the control group were used emergency cardiac interventional thrombolytic.Cardiac output,mean arterial pressure changes,and bleeding complications of post-treatment was compared after treatment. Results Cardiac output results and mean arterial pressure in the observation group were significantly higher than those of control group,with statistical difference (P<0.05).The incidence rate of gastrointestinal bleeding,hematoma and urinary tract bleeding were significantly lower than those of control group,with statistical difference(P<0.05). Conclusion Intra-aortic balloon pump for myocardial infarction combined with cardiogenic shock can effectively improve cardiac output and arterial blood pressure and reduce bleeding-related complications,and it is worthy of attention.