摘要
目的分析急性ST段抬高型心肌梗死(STEMI)行急诊经皮冠状动脉介入术(PCI)术中发生室颤的病人和非室颤病人的临床资料及影像学特点。方法选择潍坊市人民医院急诊内科2015年8月~2017年6月首诊的STEMI行急诊PCI的患者318例,其中术中发生室颤(VF组)的患者22例,未发生室颤(NVF组)的296例。比较两组的临床资料差异、冠状动脉病变特点及冠状动脉评分(Gensini评分)。结果行急诊PCI的318例患者中,22例患者出现室颤时均需要电除颤复律,两组患者术中均无死亡。发生VF组与NVF组患者在发病至球囊扩张时间、脑钠肽(BNP)水平,血清钾水平比较有统计学差异(P<0.05)。发生VF组与NVF组的患者梗塞位置在右冠脉近端血管的差异有统计学意义,右冠脉中段及远端、前降支、回旋支的近端、中端、远端比较,差异无统计学意义。结论急性心肌梗死行急诊PCI术中室颤的发生受发病至球囊扩张时间、血清钾、BNP值、冠脉病变部位及严重程度、Gensini评分高低影响。
Objective To analyze the clinical data and radiological features of patients with ventricular fibrillation and non-ventricular fibrillation undergoing acute ST-elevation myocardial infarction（ STEMI） type emergency percutaneous coronary intervention（ PCI） and the difference was statistically significant. Methods A total of 318 STEMI patients undergoing emergency PCI were selected from department of Emergency Medicine,Weifang people＇s hospital from August 2015 to June 2017. Among them 22 patients with ventricular fibrillation（ VF group） and no ventricular fibrillation（ NVF group） of 296 cases. The differences of clinical data,coronary artery lesion characteristics and coronary score（ Gensini score） were compared between the two groups. Results A total of 318 patient s with acute myocardial infarction performed emergency PCI. All of the 22 patients underwent VF with electric defibrillation and no death occurred in either group. The time from onset of the disease to PTCA,BNP level,K^＋there were statistically significant difference between the two groups. The incidence of infarction in the patients with VF and NVF group was significantly different between the proximal RCA. There was no significant difference between the two groups on that the medium and distal to RCA,proximal,medium and distal to both LAD and LCX. Conclusion The incidence of ventricular fibrillation in acute myocardial infarction（ PCI） was affected by the time of the onset of time of onset and the time of the duration of the time of the duration of the balloon dilation and the severity of Gensini score.
出处
《潍坊医学院学报》
2017年第6期478-480,共3页
Acta Academiae Medicinae Weifang
关键词
心肌梗死
急性
急诊PCI
室颤
ST-segment elevation myocardial infarction
Emergency
PCI
Ventricular fibrillation
