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目的进一步认识心源性休克的病因、临床特点及治疗方法。方法回顾分析46例心源性休克患者的临床资料。结果 46例心源性休克中,抢救成功22例,占47.83%。其中,慢性心功能不全急性恶化、扩张型心肌病晚期、高血压性心脏病三者死亡率最高。结论心源性休克病因复杂,临床死亡率高,抢救成功的关键在于早期诊断,同时应针对不同心脏基础病变,争分夺秒,正确实施抢救治疗。
Objective To further understand the etiology, clinical features and treatment of cardiogenic shock. Methods The clinical data of 46 patients with cardiogenic shock were retrospectively analyzed. Results In 46 cases of cardiogenic shock, 22 cases were successfully treated, accounting for 47.83%. Among them, acute exacerbation of chronic heart failure, dilated cardiomyopathy late, hypertensive heart disease the highest mortality rate of the three. Conclusion The etiology of cardiogenic shock is complex and the clinical mortality rate is high. The key to successful rescue lies in early diagnosis. At the same time, it should aim at different heart diseases, take the time and save the time and rescue the patients correctly.