%0 Journal Article
%T 体外膜肺氧合治疗急性心肌梗死合并心源性休克的研究进展<br>Advances in Extracorporeal Membrane Oxygenation for the Treatment of Acute Myocardial Infarction Complicated by Cardiogenic Shock
%A 宋琳
%A 何泉
%J Advances in Clinical Medicine
%P 2786-2794
%@ 2161-8720
%D 2025
%I Hans Publishing
%R 10.12677/acm.2025.1541241
%X 急性心肌梗死合并心源性休克(AMI-CS)患者的死亡率居高不下。近年来&#65292;体外膜肺氧合(ECMO)在AMI-CS患者中的逐渐增多&#65292;但现有证据尚未证明其能显著改善生存预后。本综述聚焦于ECMO在AMI-CS患者中的应用进展&#65292;探讨其生存获益&#65292;适用人群和启动时机&#65292;并分析不同左室卸载策略对预后的潜在影响&#65292;以期为ECMO在这一高危人群中的应用提供科学参考。<br>The mortality rate of patients with acute myocardial infarction complicated by cardiogenic shock (AMI-CS) remains high. In recent years, the use of extracorporeal membrane oxygenation (ECMO) in AMI-CS patients has increased. However, existing evidence has not yet demonstrated a significant improvement in survival outcomes. This review focuses on the application of ECMO in AMI-CS patients, exploring its survival benefits, patient selection, and timing of initiation. Additionally, it analyzes the potential impact of different left ventricular unloading strategies on prognosis. The aim is to provide insights to optimize ECMO applications for this high-risk patient group.
%K 体外膜肺氧合&#65292
%K 急性心肌梗死&#65292
%K 心源性休克<br>Extracorporeal Membrane Oxygenation
%K Acute Myocardial Infarction
%K Cardiogenic Shock
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=112576