心肌梗死继发性休克治疗的再评价

Eliot Corday M.D., F.C.C.P. , John K. Vyden M.B.B.S. , Tzu-Wang Lang M.D. , Erno Boszormenyi M.D. , Marciano Carvalho M.D. , Herbert Gold M.D., F.C.C.P. , Alfred Goldman M.D., F.C.C.P. , Eduardo Rosselot M.D.
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引用次数: 5

摘要

早期使用血管加压药物可以有效治疗心源性休克,因为它们可以增加冠状动脉血流量、心输出量和血压。它们使冠状动脉血管床扩张,在40%的实验中,降低了周围血管的总阻力。3-羟酪胺和血管加压-血管扩张剂联合使用可为其他重要器官提供最有效的冠状动脉和局部灌注。应用于治疗不可逆心源性休克的新机械循环辅助技术有望降低与这种可怕并发症相关的高死亡率。
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Reevaluation of the Treatment of Shock Secondary to Cardiac Infarction

When given early vasopressor drugs can be an effective from of therapy for cardiogenic shock because they increase coronary blood flow, cardiac output and blood pressure. They vasodilate the coronary vascular bed and in 40 percent of the experiments, reduce total peripheral vascular resistance. The use of 3-hydroxytyramine and the vasopressor-vasodilator combination provide most effective coronary and regional perfusion to other vital organs. New mechanical circulatory assistance techniques applied to the treatment of irreversible cardiogenic shock promise that the high mortality rate associated with this dreaded complication will be reduced.

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