Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Sốc tim mạch do nhồi máu
Tóm tắt
Sốc tim mạch như một biến chứng của nhồi máu (5–10%) tăng cường tỷ lệ tử vong của nhồi máu cơ tim không biến chứng từ dưới 10% lên khoảng 40%, do sự phát triển của hội chứng rối loạn chức năng đa cơ quan do sự suy giảm nghiêm trọng tưới máu cơ quan do sốc. Do đó, liệu pháp theo hướng dẫn không nên chỉ giới hạn ở việc tái thông mạch vành bị tắc và điều trị các biến chứng của nhồi máu. Việc tối ưu hóa lưu lượng máu cơ quan theo thể tích tim cũng rất quan trọng cho sự sống còn, thông qua các chất inotropic và vasoactive, cũng như – trong trường hợp có chỉ định nghiêm ngặt – với các hệ thống hỗ trợ cơ học tạm thời, nhưng không phải với bơm bóng trong động mạch chủ. Các biện pháp chăm sóc tích cực đặc thù cho sốc cũng rất quan trọng, chẳng hạn như thở bảo vệ phổi trong trường hợp phải thở máy.
Từ khóa
#sốc tim mạch #nhồi máu cơ tim #hội chứng rối loạn chức năng đa cơ quan #liệu pháp điều trị #tối ưu hóa lưu lượng máu #hỗ trợ cơ học tạm thời #thở bảo vệ phổiTài liệu tham khảo
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