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目的评价主动脉球囊反搏(IABP)在急性心肌梗死(AMI)合并心源性休克(CS)抢救中应用价值。方法回顾性分析48例以IABP抢救AMI合并CS患者的临床效果。结果死亡率50.00%、并发症率45.83%;存活患者治疗后5 d的平均肺动脉压(MPAP)为(17.6±3.2)mm Hg(1 mm Hg=0.133 k Pa)、肺动脉嵌入压力(PCWP)为(13.9±2.0)mm Hg低于治疗前,心脏指数(CI)为(3.2±0.4)min·m2、左室舒张末期直径(LVEDD)为(53.0±2.8)mm、左室射血分数(LVEF)为(46.4±3.5)高于治疗前,差异具有统计学意义(P<0.05)。结论 IABP可作为AMI合并CS抢救技术,但仍存在并发症,需做好技术管理。
Objective To evaluate the value of IABP in the treatment of acute myocardial infarction (AMI) complicated with cardiogenic shock (CS). Methods A retrospective analysis of 48 cases of IABP rescue AMI patients with CS clinical effect. Results The mortality rate was 50.00% and the complication rate was 45.83%. The average pulmonary arterial pressure (MPAP) and survival time were (17.6 ± 3.2) mm Hg (1 mm Hg = 0.133 kPa) and PCWP (13.9 ± 2.0) mm Hg before treatment were lower than those before treatment (P <0.05). The cardiac index (CI) was (3.2 ± 0.4) min · m 2 and the left ventricular end-diastolic diameter (LVEDD) was (53.0 ± 2.8) ) Was (46.4 ± 3.5) higher than before treatment, the difference was statistically significant (P <0.05). Conclusion IABP can be used as the AMI combined with CS rescue techniques, but there are still complications, and technical management needs to be done.