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急性心肌梗死患者合并休克的发生率为10%～15%,应用常规药物治疗死亡率高达80%以上,约50%在休克开始10 h内死亡,80%在1周内死亡,是AMI病人的重要致死原因。现代医学对心肌梗死合并休克的治疗在近几年一直没有大的进展,造成其死亡率居高不下(50%～80%)。本课题选用中西医结合的方法治疗心肌梗死合并休克与单纯西医治疗进行比较,探索中医中药在治疗急性心梗合并休克的效果及其机理。结论:中西医结合治疗心肌梗死合并休克既能提高患者生存率、降低本病的死亡率,又能稳定血压,减慢心率,增加尿量,改善肢冷、发绀、出汗等临床症状。
The incidence of shock in patients with acute myocardial infarction was 10% -15%. The mortality rate of conventional drugs was as high as 80%. About 50% of patients died within 10 hours after shock onset and 80% died within 1 week. Important cause of death. The treatment of myocardial infarction combined with shock in modern medicine has been no major progress in recent years, resulting in a high mortality rate (50% to 80%). This topic selects the method of integrated traditional Chinese and western medicine for the treatment of myocardial infarction with shock and western medicine treatment compared to explore the Chinese medicine in the treatment of acute myocardial infarction with shock and its mechanism. Conclusion: Integrative treatment of myocardial infarction with shock not only can improve the survival rate of patients, reduce the mortality of the disease, but also stabilize blood pressure, reduce heart rate, increase urine output and improve clinical symptoms such as cold, cyanosis and sweating.