摘要
目的观察急诊经皮冠状动脉介入治疗(PCI)时,主动脉球囊反搏装置(IABP)的应用对急性心肌梗死(AMI)患者手术耐受性、生命指征的影响。方法急诊PCI治疗中,对46例AMI和/或合并心源性休克的患者,在进行常规冠脉造影的同时紧急植入IABP装置,观察介入治疗过程中IABP装置植入前后患者的手术耐受性、有创血压、心率、即刻死亡率等指标变化。结果45例患者植入IABP成功,1例失败;40例患者(86.96%)能够耐受急诊PCI治疗全过程,总死亡率10.87%;具有明显心源性休克临床表现的患者66.67%能够耐受治疗,死亡率33.33%;未出现明显的心源性休克临床表现的患者94.12%能够耐受治疗,死亡率2.94%;35例顺利完成PCI治疗,成功率85.36%。结论急诊PCI治疗中IABP的快速植入可预防大面积心梗患者心源性休克的发生,对已合并心源性休克的患者可减轻症状,提高手术耐受性和手术成功率,降低死亡率。
Objective To observe the effect of intraaortic balloon pump （IABP） on tolerance of percutaneous coronary intervention （PCI）, life signs of patients with acute myocardial infarction （AMI） during emergency PCI performed. Methods 46 AMI patients complicated with or without cardiogenic shock were put on IABP at same time of coronary angiography when emergency PCI performed, and tolerance of PCI, blood pressure, heart rate and immediate death rate of patients were observed before and after operation. Results 45 cases had IABP successful and 1 case failed. 40 patients （86.96%） could endure whole emergency PCI process, the total death rate was 10.87%. 66.67% of patients with obvious cardiogenic shock could endure emergency PCI, the death rate was 33.33%; 94.12% of patients without cardiogenic shock could endure PCI treatment and the death rate was 2.94%. 35 cases completed PCI treatment and the successful rate was 85.36 %. Conclusion PCI supported by IABP can prevent AMI patients from cardiogenic shock, ease symptoms of patients complicated with cardiogenic shock, improve the tolerance and successful rate of the PCI treatment, and decrease immediate death rate.
出处
《中国康复理论与实践》
CSCD
2007年第4期382-383,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
急性心肌梗死
心源性休克
主动脉球囊反搏装置
介入治疗
acute myocardial infarction
cardiogenic shock
intraaortic balloon pump
intervention treatment
