摘要
目的总结呼吸机辅助治疗急性心肌梗死（AMI）并发心源性休克患者的治疗抢救经验，提高抢救成功率。方法回顾性分析32例急性心肌梗死并发心源性休克患者在ICU给予一般治疗配合呼吸机辅助呼吸的效果。结果32例AMI并发心源性休克患者经积极抢救24例治愈出院，8例抢救无效死亡，其中≥70岁6例，〈70岁2例，抢救成功率为75％。结论心源性休克是急性心肌梗死的严重并发症，病死率高，临床上早期诊断、及时行呼吸机辅助治疗并加强呼吸道的管理能有效提高抢救成功率。
Objective To observe the rescue experience of invasive mechanical ventilation in the treatment of patients with acute myocardial infarction （AMI） complicated with cardiogenic shock in order to improve the successful rescue rate. Methods The clinical data of 32 cases of acute myocardial infarc- tion complicated with cardiogenic shock patients in the ICU were retrospectively analysed. They were giv- en the general treatment and invasive mechanical ventilation. Results Thirty-two patients with AMI complicated with cardiogenic shock were actively rescued, 24 patients were cured, 8 patients died, inclu- ding 6 cases over 70 years old, 2 cases below 70 years old, the successful rescue rate was 75%. Conclu- sions Cardiogenic shock is a serious complication of acute myocardial infarction, mortality is high, the clinical diagnosis, ventilator-assisted therapy and the management of the respiratory tract, can effectively improve the successful resue rate.
出处
《中国实用医刊》
2012年第9期16-17,共2页
Chinese Journal of Practical Medicine
