张伯礼教授中西医结合救治高龄急性脑卒中伴心源性休克经验OA

Stroke-heart syndrome(SHS)refers to new-onset cardiac injury or dysfunction,or the worsening of pre-existing cardiac conditions,occurring early after acute ischemic stroke.Its clinical manifestations primarily include acute myocardial injury,heart failure,and arrhythmias,with cardiac damage often peaking within 72 hours of onset.This article reports the case of an elderly patient who developed acute heart failure within 24 hours after an acute stroke.The clinical challenge lay in balancing the need to"preserve cerebral perfusion"while"reducing cardiac load."Although the patient's condition stabilized after conventional symptomatic Western medical treatment,the dilemma of unable to withdraw vasopressors persisted.Based on traditional Chinese medicine heart-brain interconnection and the pathogenesis characteristics of"heart deficiency and marrow depletion"in elderly patients,Professor ZHANG Boli guided the combined application of intravenous Yiqi Fumai Injection and oral Fuzheng Mixture was administered.This approach successfully facilitated the reduction and withdrawal of vasoactive agents,offering an effective combined therapeutic strategy for managing critically ill elderly patients under the"heart-brain simultaneous treatment"principle.