| 主动脉内球囊反搏联合溶栓治疗急性心肌梗死并心源性休克的疗效分析 |
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| 引用本文： | 林锐,徐名伟,陈扬波,吴强,邱双平.主动脉内球囊反搏联合溶栓治疗急性心肌梗死并心源性休克的疗效分析[J].临床和实验医学杂志,2011,10(7):495-496. |
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| 作者姓名： | 林锐 徐名伟 陈扬波 吴强 邱双平 |
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| 作者单位： | 广东省揭阳市人民医院心内科,广东,揭阳,522000 |
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| 摘 要： | 目的评估主动脉内球囊反搏(IABP)联合溶栓治疗急性心肌梗死(AMI)并心源性休克的疗效。方法收集2010年1月至2011年1月因AMI合并心源性休克入住我院行溶栓治疗的患者33例为研究对象,进行回顾性研究。根据患者是否接受IABP治疗,将患者分为治疗组和对照组,比较两组患者溶栓后的冠状动脉开通率、溶栓后2 h血流动力学指标、入院后8 h死亡率及院内死亡率。结果治疗组溶栓后冠状动脉开通率较对照组高,但差异无统计学意义(P>0.05);溶栓后治疗组的血流动力学指标均较对照组有明显改善,差异有统计学意义(P<0.05);治疗组入院8h死亡率及院内死亡率均较对照组明显降低,差异有统计学意义(P<0.05)。结论当AMI合并心源性休克时,尽早选择应用IABP联合溶栓治疗,将有助改善此类高危患者的临床预后。
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| 关 键 词： | 急性心肌梗死 心源性休克 主动脉内球囊反搏 溶栓治疗 |
Effect of intra-aortic balloon pump counterpulsation combined with thrombolytic therapy in treatment of patients with acute myocardial infarction complicated with cardiogenic shock |
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| LIN Rui,XU Ming-wei,CHEN Yang-bo,et al..Effect of intra-aortic balloon pump counterpulsation combined with thrombolytic therapy in treatment of patients with acute myocardial infarction complicated with cardiogenic shock[J].Journal of Clinical and Experimental Medicine,2011,10(7):495-496. |
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| Authors: | LIN Rui XU Ming-wei CHEN Yang-bo |
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| Institution: | LIN Rui,XU Ming-wei,CHEN Yang-bo,et al.Department of Cardiology,The People's Hospital of Jieyang,Jieyang Guangdong 522000,China |
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| Abstract: | Objective To observe the effect of intra-aortic balloon pump counterpulsation(IABP) combined with thrombolytic therapy in treatment of patients with acute myocardial infarction(AMI) complicated with cardiogenic shock.Methods The clinical data of thirty-three patients with acute myocardial infarction complicated with cardiogenic shock treated by thrombolytic therapy were retrospectively collected and reviewed.They were divided into trial group and control group according to whether applying IABP or not.The o... |
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| Keywords: | Acute myocardial infarction Cardiogenic shock Intra-aortic balloon pump counterpulsation Thrombolytic therapy |
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