论文部分内容阅读
目的:探讨急性心肌梗死并发心源性休克的临床特点及救治措施,总结相关临床工作经验。方法:随机抽取2013年1月-2015年10月笔者所在急救中心收治的急性心肌梗死患者130例,根据患者是否休克分成对照组和观察组,其中对照组90例为非休克患者,观察组40例为休克患者,对两组临床特点及抢救效果进行分析比较。结果:本次研究中,对照组患者入院时的心率、血压、心肌肌钙蛋白I峰值均优于观察组,差异均有统计学意义(P<0.05);观察组患者病死率为7.50%,痊愈率为80.00%;对照组未出现死亡病例,痊愈率为87.78%,两组疗效均显著,但差异无统计学意义(P>0.05)。结论:急性心肌梗死并发心源性休克患者病情非常危急,及时判断、监测及处理,可明显改善患者的预后,值得研究和借鉴。
Objective: To investigate the clinical features and treatment measures of cardiogenic shock in patients with acute myocardial infarction and to summarize relevant clinical experience. Methods: A total of 130 patients with acute myocardial infarction who were admitted to our emergency center from January 2013 to October 2015 were randomly divided into control group and observation group according to whether the patient was shocked. Among them, 90 patients in the control group were non-shock patients and the observation group 40 Cases of shock patients, the two groups of clinical features and rescue effects were analyzed and compared. Results: In this study, the heart rate, blood pressure and cardiac troponin I peak of admission patients in the control group were significantly better than those in the observation group (P <0.05). The mortality of the observation group was 7.50% The cure rate was 80.00%. There were no deaths in the control group and the cure rate was 87.78%. The curative effect was significant in both groups, but the difference was not statistically significant (P> 0.05). Conclusion: The patients with acute myocardial infarction complicated by cardiogenic shock are in critical condition. Judging, monitoring and treatment in time can significantly improve the prognosis of patients. It is worth studying and referring to.