摘要
Abstract
Objective To investigate the effect of intra-aortic balloon pump(IABP) on patients with acute fulminant myocarditis complicated with cardiogenic shock.Methods From October,2009 to April,2013,62 patients with acute fulminant myocarditis,including 34 males and 28 females,17 to 50 years old,were prospectively enrolled.The patients were assigned to an IABP group (n=30,receiving IABP therapy) and a control group (n=32,not receiving IABP therapy).The changes of the mean arterial pressures,heart rates,kidney function,heart function,mortality during hospitalization,and hospitalization time were observed and compared between the 2 groups.Results The mean arterial pressure increased more,the heart rate and the blood levels of Cr and NT-proBNP were lower,and the EF value was higher (PEF ＜ 0.001) in the IABP group than in the control group,with statistical differences between the 2 groups (P mean arterial pressure ＜ 0.001,P heart rate ＜ 0.001,P creatine ＜ 0.001,and P BNP ＜ 0.001)),showing that the kidney function and heart function of the IABP group markedly increased.2 cases of the IABP group and 9 cases of the control group ended in death,with a statistical difference (P ＜ 0.05).The hospitalization time was (13.72 ± 3.98) days in the IABP group and was (18.60 ± 4.82) days in the control group,with a statistical difference (P ＜ 0.01).Conclusions IABP therapy for patients with acute fulminant myocarditis complicated with cardiogenic shock can lower the mortality,shorten the hospitalization time,and improve the prognosis.关键词
主动脉球囊反搏/急性重症心肌炎/心源性休克Key words
Intra-aortic balloon pump/ Acute fulminant myocarditis/ Cardiogenic shock
