现代医药卫生Issue(17)：2561-2562,2565,3.DOI:10.3969/j.issn.1009-5519.2014.17.001
主动脉内球囊反搏支持下急性心肌梗死经皮冠状动脉介入治疗的临床应用
Clinical application of intra-aortic balloon pump and percutaneous coronary intervention in patients with acute my ocar- dial infarction
摘要
Abstract
Objective To observe the effect of percutaneous coronary intervention (PCI) with the support of intra-aortic balloon pump counterpulsation(IABP) on early mortality and cardiac function of high-risk patients with acute myocardial infarc-tion(AMI). Methods Twenty AMI patients,who were enrolled in Xijing Hospital of the Fourth Military University from Septem-ber 2012 to February 2013,had coronary arteriography(CAG) with the support of IABP within 3-6 h after onset,the blood vessel was with percutaneous transluminal coronary angioplasty(PTCA) and stent implantation. To observe the changes of blood pressure before and after IABP support,and to inspect the cardiac function by echocardiography within 1 week. Results 24 h after IABP support,the average heart rate decreased from(120.0±15.8)beats/min to(84.3±5.7) beats/min;left ventricular ejection fraction (LVEF) was improved from (36±5)%to (44±4)%;the systolic blood pressure(SBP) and diastolic blood pressure(DBP) im proved obviously;the differences had statistical significance(P<0.05). 1 case left hospital because of pulmonary infection and res-piratory failure and died 1 month after discharge,with the death rate of 5%(1/20). Conclusion Short-term application of IABP, as assistance,can reduce the incidence of complications,decrease death rate and improve the post-operative recent cardiac func-tion in the early prevention of AMI patients with PCI.关键词
心肌梗死/反搏动术/主动脉内气囊泵/血管成形术,经腔,经皮冠状动脉/超声检查Key words
Myocardial infarction/Counterpulsation/Intra-aortic balloon pumping/Angioplasty,transluminal, percutaneous coronary/Ultrasonography引用本文复制引用
梁婷,和军方,杨巧妮,高好考..主动脉内球囊反搏支持下急性心肌梗死经皮冠状动脉介入治疗的临床应用[J].现代医药卫生,2014,(17):2561-2562,2565,3.基金项目
国家自然科学基金资助项目（81100234）。 （）
