Enenkel W
Wien Klin Wochenschr. 1976 Oct 15;88(19):631-6.
Advances in the conservative treatment of cardiogenic shock have been achieved by a combination of the use of drugs (dopamine, furosemide, prednisolone), artificial ventilation and parenteral nutrition (to avoid a negative energy situation). Basic requisites for such therapy are the continuous monitoring of haemodynamic parameters (pulmonary wedge pressure, cardiac index) and of laboratory results (blood gas analysis, pO2, pCO2, osmolarity, blood glucose level). Assisted circulation (IABP) should be started immediately if it becomes apparent that little or no effect has been achieved by medical treatment. Protection is provided by the IABP for further investigation of the patient by selective coronary angiography and surgical intervention whenever possible.
通过联合使用药物（多巴胺、呋塞米、泼尼松龙）、人工通气和肠外营养（以避免能量负平衡情况），在心源性休克的保守治疗方面取得了进展。这种治疗的基本要求是持续监测血流动力学参数（肺楔压、心脏指数）和实验室检查结果（血气分析、pO2、pCO2、渗透压、血糖水平）。如果明显看出药物治疗效果甚微或没有效果，应立即开始使用辅助循环（主动脉内球囊反搏）。主动脉内球囊反搏为患者提供保护，以便在可能的情况下通过选择性冠状动脉造影和外科干预对患者进行进一步检查。
