摘要
目的探讨优化应用升压药物(静脉注射多巴胺配合动脉注射生理盐水)和主动脉内球囊反搏(IABP)支持下急诊经皮冠状动脉介入术(PCI)治疗急性心肌梗死(AMI)合并低血压的临床疗效。方法观察44例AMI合并低血压患者分别在优化应用升压药及IABP支持下急诊行PCI 32例(手术组)和非手术12例的疗效。结果优化应用升压药及IABP支持下急诊PCI明显较非手术患者降低了院内病死率(15.6%vs 50.0%,P<0.05)。手术组优化应用升压药患者,稳定血压所需时间和出现恶心、呕吐者减少。结论 AMI合并低血压早期行优化应用升压药或IABP支持下急诊PCI可明显降低其院内病死率,应用优化升压药方案配合急诊PCI治疗AMI合并低血压具有方便、快捷、高效的特点。
Objective To explore the clinical efficacy of percutaneous coronary intervention（PCI） with the support of pressor agent（intravenous injection of dopamine combined with artery injection of normal saline） and intra-aortic balloon pump（IABP） in patients with acute myocardial infarction（AMI） complicated by hypotension.Methods A total of 44 patients diagnosed as AMI complicated by hypotension were divided into two groups by whether or not patients underwent emergency PCI：PCI group（n=32） and non-PCI group（n=12）.The patients in PCI group were performed PCI under the support of optimized pressor agent and IABP.Clinical efficacy was compared.Results Compared with non-PCI group,the hospital mortality effectively reduced in PCI group（50.0% vs 15.6%,P〈0.05）.For emergency PCI patients,the optimized pressor agent decreasd the time of achieving the stable pressure and the rate of nausea and vomiting.Conclusion Early PCI therapy with optimized pressor agent and IABP can effectively reduce the hospital mortality of AMI patients complicated by hypotension,and emergency PCI combined with optimized pressor agent is convenient,fast and efficient for AMI patients complicated by hypotension.
出处
《山西医科大学学报》
CAS
2011年第12期975-978,共4页
Journal of Shanxi Medical University
关键词
急性心肌梗死
低血压
经皮冠状动脉介入
升压药物
主动脉内球囊反搏
acute myocardial infarction
hypotension
percutaneous coronary intervention
pressor agent
intra-aortic balloonpump
