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急性心肌梗死合并心源性休克患者冠脉病变特点及再灌注疗法的效果 |
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shock patients,in-hospital mortality rate seemed to depend closely upon IRA pa tency.Only one of the six patients with patency died,meanwhile three of fives wi thout patency died.Conclusion AMI patients with cardiogenic shock had more severe co ronary artery disease and higher mortality.The establishment of patency of the I RA is the most important therapeutic strategy for improving prognosis. The preve ntion of extension might reduce the incidence of cardiogenic shock. 【Key words】 Acute myocardial infarction Cardiogen ic shock Reperfusion therapy
AMI的预后随着心电监护和再灌注疗法的普遍开展而显著改善,其院内病死率已降至1 0%以下[1],目前,心源性休克是AMI院内死亡的主要原因,在保守治疗时代,其 病死率高达65%~97%[2],有心源性休克者再灌注疗法的效果通常较无心源性休克 者差,这除了与血流动力学有关外,也受冠脉病变本身的影响。本研究就其冠脉病变特点及 再灌注疗法的效果进行探讨。
1 对象与方法
1.1 对象 发病24小时以内入院的AMI 74例,男58例,女16例
上一页 [1] [2] 上一个医学论文: 异搏定治疗特殊类型室性心动过速的临床疗效与安全性研究 下一个医学论文: 高同型半胱氨酸血症与冠脉病变的关系
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