中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
4期
21-22
,共2页
急性心肌梗死%心源性休克%诊断与治疗
急性心肌梗死%心源性休剋%診斷與治療
급성심기경사%심원성휴극%진단여치료
Acute myocardial infarction%Cardiogenic shock%Diagnosis and treatment
目的：探讨急性心肌梗死并发心源性休克的早期诊断及治疗效果。方法：严密观察病情，高浓度吸氧，绝对卧床休息，止痛，及时采取再灌注治疗，结合药物及机械辅助装置。结果：50例患者中，经再灌注并结合药物及机械辅助装置等治疗，抢救成功率＞90%。结论：心源性休克是急性心肌梗死严重的并发症，是心肌梗死早期死亡的主要原因。早发现，早确诊，早治疗，对抢救心肌梗死并发心源性休克具有非常重要的价值，可提高患者的生存率。
目的：探討急性心肌梗死併髮心源性休剋的早期診斷及治療效果。方法：嚴密觀察病情，高濃度吸氧，絕對臥床休息，止痛，及時採取再灌註治療，結閤藥物及機械輔助裝置。結果：50例患者中，經再灌註併結閤藥物及機械輔助裝置等治療，搶救成功率＞90%。結論：心源性休剋是急性心肌梗死嚴重的併髮癥，是心肌梗死早期死亡的主要原因。早髮現，早確診，早治療，對搶救心肌梗死併髮心源性休剋具有非常重要的價值，可提高患者的生存率。
목적：탐토급성심기경사병발심원성휴극적조기진단급치료효과。방법：엄밀관찰병정，고농도흡양，절대와상휴식，지통，급시채취재관주치료，결합약물급궤계보조장치。결과：50례환자중，경재관주병결합약물급궤계보조장치등치료，창구성공솔＞90%。결론：심원성휴극시급성심기경사엄중적병발증，시심기경사조기사망적주요원인。조발현，조학진，조치료，대창구심기경사병발심원성휴극구유비상중요적개치，가제고환자적생존솔。
Objective:To explore the early diagnosis and treatment effect of 50 cases of acute myocardial infarction complicated with cardiogenic shock.Methods:The patients were given the strict observation of condition,the high concentration of oxygen, absolute bed rest,relieving pain,timely reperfusion therapy,combined with drugs and mechanical auxiliary device.Results:In 50 patients,after reperfusion and the combination of drugs and mechanical auxiliary device and other treatment,the rescue success rate was more than 90%.Conclusion:Cardiogenic shock was a severe complication in patients with acute myocardial infarction.It was the main cause of early death in acute myocardial infarction.Early discovery,early diagnosis,early treatment had very important value to the rescue of myocardial infarction complicated with cardiogenic shock.It could improve the survival rate of patients.
