急性心肌梗死合并心源性休克的预后因素分析

目的探讨影响急性心肌梗死(AMI)并心源性休克患者的预后因素。方法将135例AMI患者按是否合并心源性休克分为休克组53例、非休克组82例,对比两组患者心血管疾病危险因素、临床特征及介入治疗情况、并发症发生率及近期病死率。结果休克组有高血压病、年龄>70岁患者显著增多;冠脉多支病变明显高于非休克组;行主动脉内球囊反搏(IABP)治疗多于非休克组;并发急性肺水肿、肺炎、早期急性肾衰竭多;但两组近期病死率无显著性差异。结论急性心肌梗死并心源性休克,以高龄、高血压患者及冠脉多支病变多见,易并发急性肺水肿、肺炎、早期急性肾衰竭,尽早应用IABP及血运重建可改善预后。

Factor Analysis about Prognosis of Cardiogenic Shock Complicated by Acute Myocardial Infarction(AMI)

Objective To investigate the prognosis factors of cardiogenic shock complicated by acute myocardial infarction(AMI).Methods 135 patients with AMI were included in this analysis,which was divided into shock group having 53 cases (A) and non-shock group having 82 cases(B) according to have the cardiogenic shock or not.Compared some indexes in these two groups in the risk factors,clinical features,interventional therapy,incidence rate of complications and recent case fatality rate.Results There are more patients with hypertension,multivessel coronary disease and whose age are above 70 years in group A.In group A patients often underwent intra-aortic balloon counterpulsation(IABP).In addition,patients in group A had a higer proportion of acute pulmonary edema,pneumonia and acute renal failure than those in group B.There was no difference in in-hospital mortality between two groups.Conclusions Patients with AMI complicating cardiogenic shock are more likely have great age,hypertension and multivessel coronary disease,who are easy to have acute pulmonary edema,peneumonia and acute renal failure.If we use IABP to achieve revascularization,its prognosis can be promoted.