急诊PCI联合主动脉内球囊反搏对急性心肌梗死合并心源性休克的疗效

目的：探讨经皮冠状动脉介入治疗（PCI）联合主动脉球囊反搏术（IABP）治疗急性心肌梗死（AMI）心源性休克患者的临床疗效。方法：回顾性分析16例联合IABP行PCI治疗的AMI合并心源性休克患者的临床资料。结果：16例患者均成功置入IABP及行PCI术,IABP使用时间20～190（70.6±37.2）h,3例（18.75%）出现局部穿刺部位出血,经压迫后出血停止,除住院期间死亡1例（6.25%）,无重大并发症。结论：对于心源性休克患者,联合主动脉球囊反搏术行经皮冠状动脉介入治疗安全、有效。

Effects of intra-aortic balloon pump combined with emergency PCI in AMI patients complicated cardiogenic shock

Objective: To study clinical efficacy of intra-aortic balloon pump(IABP) combined with emergency percutaneous coronary intervention(PCI) in patients with acute myocardial infarction(AMI) complicated cardiogenic shock.Methods: Clinical data of 16 AMI complicated cardiogenic shock patients undergoing PCI combined with IABP were retrospectively studied.Results:All patients successfully underwent IABP and PCI.IABP duration was 20～190(70.6±37.2)h.Bleeding of local puncture sites occurred in three cases(18.75%) and they were stopped after compression.One case(6.25%) died during admission and there were no other severe complications besides one case death.Conclusion: Intra-aortic balloon pump combined with percutaneous coronary intervention is safe and effective in AMI patients with cardiogenic shock.