Cov tswv yim txhawb nqa ib ntus rau kev poob siab cardiogenic: extracorporeal membrane oxygenation, percutaneous ventricular assist devices thiab surgically tso extracorporeal ventricular assist devices.
Yuav ua li cas yog cov kev cuam tshuam tsim nyog rau kev poob siab cardiogenic?
Tshuaj kho mob plawv nres yog muab los ua kom koj lub plawv dhia muaj peev xwm thiab txo cov ntshav txhaws
- Vasopressors. Cov tshuaj no yog siv los kho cov ntshav siab. …
- Inotropic agents. …
- Aspirin. …
- tshuaj tiv thaiv kab mob. …
- Lwm cov tshuaj noj ntshav.
Nws yog ib qho kev kho mob uas siv los ntsuas ib ntus hauv kev poob siab cardiogenic thaum cov tshuaj tsis txaus los tswj ntshav siab?
Inotropic therapy
Dobutamine yog suav tias yog thawj qhov kev kho mob ntawm kev xaiv hauv kev poob siab cardiogenic nrog qis qis qis thiab khaws cia systolic ntshav siab. Vim tias dobutamine tsis ua rau cov ntshav siab nce ntxiv, nws tuaj yeem ua ke nrog vasopressors kom tswj cov ntshav siab txaus.
Yuav ua li cas yog thawj zaug kev kho mob rau cardiogenic shock?
Intra-Aortic Balloon Pump The IABP yog siv tau rau thawj zaug stabilization ntawm cov neeg mob nrog cardiogenic poob siab. Txawm li cas los xij, IABP tsis yog qhov kev kho mob meej; lub IABP stabilizes cov neeg mob kom paub meej qhov kev kuaj mob thiab kho cov kev cuam tshuam tuaj yeemua tau.
Dab tsi yog thawj kab IV inotropic tus neeg sawv cev thaum cuam tshuam nrog kev poob siab cardiogenic?
Nyob rau hauv cardiogenic shock complicating AMI, cov lus qhia tam sim no raws li cov kws tshaj lij kev xav pom zoo dopamine lossis dobutamineua cov kab mob thawj zaug uas muaj ntshav siab qis (systolic ntshav siab 70 txog 100 mm Hg) thiab norepinephrine raws li cov kev kho mob zoo tshaj plaws rau hypotension hnyav (systolic ntshav siab <70 mm Hg).
