ST段抬高型急性心肌梗死患者急诊经皮冠状动脉介入治疗中无复流现象的处理

被引：12

作者：

池菊芳 ^{[1
]}

王勇 ^{[2
]}

刘晓飞 ^{[2
]}

李宪伦 ^{[2
]}

王志军 ^{[2
]}

郑金刚 ^{[2
]}

曾玉杰 ^{[2
]}

机构：

[1] 绍兴市人民医院

[2] 北京中日友好医院

来源：

中国全科医学 | 2008年 / 06期

关键词：

心肌梗死; 经皮冠状动脉介入治疗; 无复流;

D O I：

暂无

中图分类号：

R542.22 [];

学科分类号：

1002 ; 100201 ;

摘要：

目的探讨ST段抬高型急性心肌梗死(STEMI)患者急诊经皮冠状动脉介入治疗(PCI)中无复流现象发生的原因及处理方法。方法回顾性分析43例STEMI患者急诊PCI治疗中无复流现象的发生情况。结果43例患者中,梗死相关血管(IRA)为右冠状动脉者27例(62.8%),前降支13例(30.2%),回旋支3例(7.0%);无复流患者的平均再灌注时间为(5.7±2.8)h。无复流患者给予盐酸地尔硫艹卓、腺苷、溶栓剂等药物治疗和主动脉内反搏泵(IABP)治疗。43例患者中,术中及住院期间共死亡6例,病死率为14.0%。结论无复流现象是STEMI患者PCI治疗中常见的合并症之一,有较高的病死率;药物和IABP的综合治疗对无复流患者有一定的疗效。

引用

页码：476 / 478

页数：3

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