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目的:探讨联合主动脉内球囊反搏术(IABP)、机械通气(MV)、连续性静-静脉血液滤过术(CVVH)治疗合并心源性休克、急性肺水肿、急性肾损伤的重症急性心肌梗死(AMI)患者的临床疗效。方法:回顾性分析2009年1月至2013年12月我科收治的合并心源性休克、急性肺水肿、急性肾损伤的行床旁联合应用IABP、MV、CVVH治疗的AMI患者37例的临床资料。结果:本组37例患者中死亡11例(29.7%),治疗后平均动脉压、心率、呼吸频率、血氧分压、氧合指数、尿素氮、血清肌酐均较治疗前显著改善(P<0.05)。结论:联合应用IABP、MV、CVVH治疗合并心源性休克、急性肺水肿、急性肾损伤等严重并发症的重症AMI患者的临床疗效确切,建议尽早使用。
OBJECTIVE: To investigate the effects of combined intra-aortic balloon pump (IABP), mechanical ventilation (MV) and continuous veno-venous hemofiltration (CVVH) on cardiogenic shock, acute pulmonary edema and severe acute kidney injury Clinical efficacy in patients with acute myocardial infarction (AMI). Methods: A retrospective analysis of 37 patients with AMI treated with IABP, MV, and CVVH at the bedside combined with cardiogenic shock, acute pulmonary edema and acute kidney injury in our department from January 2009 to December 2013 was retrospectively analyzed. data. Results: Among the 37 patients, 11 died (29.7%). Mean arterial pressure, heart rate, respiratory rate, partial pressure of oxygen, oxygenation index, blood urea nitrogen and serum creatinine were significantly improved after treatment (P < 0.05). Conclusion: The combined treatment of IABP, MV and CVVH in patients with severe AMI complicated with severe complications such as cardiogenic shock, acute pulmonary edema and acute renal injury is of definite clinical efficacy and is recommended for early use.