联合应用机械通气和主动脉球囊反搏治疗心源性休克

目的观察联合应用机械通气和主动脉球囊反搏(IABP)治疗急性心肌梗死(AMI)合并心源性休克的疗效,探讨与死亡相关的危险因素。方法回顾分析解放军总医院心内科监护室2003～2005年联合应用机械通气和IABP治疗的AMI后心源性休克病例临床资料,观察疗效并对影响患者预后的相关因素进行回归分析。结果联合应用机械通气和IABP治疗AMI后心源性休克患者27例,康复出院7例,院内死亡20例,死亡率74%。多因素分析表明,发生急性肾衰竭是增加院内死亡风险的独立预测因素。结论AMI合并心源性休克联合应用机械通气和IABP治疗死亡率仍然很高,急性肾衰竭是增加死亡风险的独立预测因素。

Treatment of mechanical ventilation and intra-aortic balloon pump for cardiogenic shock patients

Objective To observe the curative effect and discuss the relative factors of mortality in the patients of post-infarction cardiogenic shock treated with both mechanical ventilation(MV) and intra-aortic balloon pump(IABP). Method Retrospective analysis of 27 patients of post-infarction cardiogenic shock treated with both MV and IABP in our CCU from 2003 to 2005. Multivariate Logistic Regression Analysis was performed to determine the relative factors of mortality. Results The total mortality of 27 patients was 74%(20/27). Multivariate Logistic Regression Analysis showed acute renal failure was an independent predictor of mortality.Conclusions The patients of post-infarction cardiogenic shock treated with both MV and IABP have a high mortality rate . Acute renal failure is common in these patients and strongly associated with mortality in hospital.