观察主动脉内球囊反搏治疗八例急性心肌梗塞的临床疗效(摘要)
作者：查铭凡 陈绍良 段宝祥
单位：江苏省，南京医科大学附属南京第一医院(210006)
关键词：
中国循环杂志99zk86 目的：观察主动脉内球囊反搏(IABP)治疗急性心肌梗塞(AMI)合并心源性休克病人的疗效。
方法：1998年5月患有AMI合并心源性休克需立即做IABP的8例病人(男7例，女1例)，平均年龄62.25(45～72)岁。心肌梗塞范围：前壁6例，下壁+后壁2例。冠状动脉造影(CAG)显示：所有病人中均有1支血管100%闭塞。
结果：所有病人均在IABP辅助下，其中直接PTCA 6例，急诊PTCA 2例，经治疗病人很快得到恢复。
结论：IABP是治疗AMI合并心源性休克的有效方法，它可降低AMI的死亡率，急诊PTCA或CABG是治疗AMI的一个重要手段。
Clinical Observation of Using Intra-Aortic Balloon Pumping in 8 Cases with Acute Myocardial Infarction (Abstract)
Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing (210006), Jiangsu
Zha Mingfan, Chen Shaoliang, Duan Baoxiang.
Objective: To observe the efficacy of intra-aortic balloon pumping (IABP) in acute myocardial infarction (AMI) with cardiogenic shock.
Methods: From May 1998, 8 patients, 7 males and 1 female, with a mean age of 62.25 years (45～72 years), suffered from AMI (6 of anterior and 2 of inferior plus posterior) with cardiogenic shock. All of them needed using IABP at once. CAG showed all cases with double or triple vessel disease, two with serious stenosis in left main. All cases have a 100% occlusion in one vessele.
Results: Six cases treated by direct PTCA. Two cases treated by Emergency CABG. All of them supported by IABP, and got recovery very soon.
Conclusion: IABP is an effective treatment for AMI with cardiogenic shock, it may reduce the mortality of AMI. Emergency PTCA or CABG is an important treatment in AMI., http://www.100md.com
单位：江苏省，南京医科大学附属南京第一医院(210006)
关键词：
中国循环杂志99zk86 目的：观察主动脉内球囊反搏(IABP)治疗急性心肌梗塞(AMI)合并心源性休克病人的疗效。
方法：1998年5月患有AMI合并心源性休克需立即做IABP的8例病人(男7例，女1例)，平均年龄62.25(45～72)岁。心肌梗塞范围：前壁6例，下壁+后壁2例。冠状动脉造影(CAG)显示：所有病人中均有1支血管100%闭塞。
结果：所有病人均在IABP辅助下，其中直接PTCA 6例，急诊PTCA 2例，经治疗病人很快得到恢复。
结论：IABP是治疗AMI合并心源性休克的有效方法，它可降低AMI的死亡率，急诊PTCA或CABG是治疗AMI的一个重要手段。
Clinical Observation of Using Intra-Aortic Balloon Pumping in 8 Cases with Acute Myocardial Infarction (Abstract)
Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing (210006), Jiangsu
Zha Mingfan, Chen Shaoliang, Duan Baoxiang.
Objective: To observe the efficacy of intra-aortic balloon pumping (IABP) in acute myocardial infarction (AMI) with cardiogenic shock.
Methods: From May 1998, 8 patients, 7 males and 1 female, with a mean age of 62.25 years (45～72 years), suffered from AMI (6 of anterior and 2 of inferior plus posterior) with cardiogenic shock. All of them needed using IABP at once. CAG showed all cases with double or triple vessel disease, two with serious stenosis in left main. All cases have a 100% occlusion in one vessele.
Results: Six cases treated by direct PTCA. Two cases treated by Emergency CABG. All of them supported by IABP, and got recovery very soon.
Conclusion: IABP is an effective treatment for AMI with cardiogenic shock, it may reduce the mortality of AMI. Emergency PTCA or CABG is an important treatment in AMI., http://www.100md.com