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四、治疗治疗原则:1、就地抢救,避免远距离转送,立即吸氧、止痛,尽快建立静脉给药途径,尽可能迅速进行心电监护和必要的血液动力学监测,必要时留置导尿管以测尿量; 2、如有低血容量状态,先扩容,首选低分子右旋糖酐,若并发酸中毒,给予碳酸氢钠溶液;3、补足血容量后休克仍未解除,应考虑使用血管活血药物和升阳益气、活血化淤中药;4、积极治疗并发症,如纠正心律失常,弥散性血管内凝血等;5、药物治疗同时或治疗无效,可采取辅助循环;6、有条件单位可施行冠脉旁路术。现就近年来进展较大的几种疗法作一简介。(一)洋地黄及新型正性变力性药物的应用AMI 并发心原性休克时,洋地黄的应用并无定论。
Fourth, the treatment and treatment principles: 1, local rescue, to avoid long-distance transfer, immediately oxygen, pain, as soon as possible to establish intravenous route of administration, as quickly as possible ECG monitoring and necessary hemodynamic monitoring, indwelling catheterization Tube to measure urine; 2, if the state of hypovolemia, the first expansion, the preferred low molecular weight dextran, if complicated by acidosis, given sodium bicarbonate solution; 3, make up the blood volume shock has not been lifted, should consider the use of blood vessels and blood circulation Drugs and Yang Qi, promoting blood circulation and stasis medicine; 4, active treatment of complications, such as correction of arrhythmia, disseminated intravascular coagulation, etc .; 5, drug treatment at the same time or treatment is invalid, can take auxiliary circulation; 6, conditional units Can be performed coronary artery bypass surgery. Now on the progress of several larger therapy for a brief introduction. (A) digitalis and a new type of positive variable drug application AMI complicated with cardiogenic shock, the application of Digitalis is inconclusive.