移动式数字X线血管机在急诊冠脉介入术中的应用  

Application of the Digital-mobile Cardiac X-ray Machine in Primary PCI

作　　者：惠杰[1] 杨向军[1] 蒋廷波[1] 宋建平[1] 王育林[1] 蒋彬[1] 陈琦[1] 杨俊华[1] 刘志华[1] 蒋文平[1] 

机构地区：[1]苏州大学附属第一医院心内科,江苏苏州215006

出　　处：《苏州大学学报（医学版）》2005年第4期647-649,共3页Suzhou University Journal of Medical Science

摘　　要：目的探讨移动式数字X线血管机在急诊经皮冠状动脉介入(PCI)术中的应用价值。方法将79例拟行急诊PCI术的患者,经“绿色通道”直接送入心内科导管室,均在移动式数字X线血管机(SIAS Cardiodigit 9,意大利)下,进行急诊冠状动脉造影(CAG)、冠状动脉腔内扩张(PTCA)术、支架植入(SI)术及冠状动脉腔内超声(IVUS)检查。结果79例均行急诊CAG,74例行急诊PTCA+SI术,4例单纯行PTCA。PCI术后100%的梗死相关血管恢复TIMI 3级血流。手术成功率为100%。1例为无保护左主干病变,即转外科行冠脉旁路术;6例患者还进行了IVUS检查,以确定病变、选择合适的支架,并且评价急诊PCI术后的效果。结论移动式数字X线血管机基本能满足急诊PCI术的要求,操作简单、迅速,功能基本齐全,为建立“心脏绿色通道”的基本设备之一。Objective To evaluate the value of the digital-mobile cardiac X-ray machine in primary percutaneous coronary intervention（PCI）. Methods The analysis of 79 patients in the study group was done, who were suspected with AMI through primary PCI examination. These patients were immediately admitted into the catheter lab through the “ Green Passage ” Coronary angiography （CAG）, percutaneous transluminal coronary angioplasty（PTCA）, intracoronary stent implanting（SI） and intracoronary ultrasound（ICUS） were performed under the digital-mobile cardiac X-ray machine （SIAS Cardiodigit 9, Italy） examination. Results There were 79 patients who showed positive results in CAG. Primary PTCA were 79 cases, among whom underwent 74 SI. The TIMI 3 rate after the PCI was 100 %. The success rate of PCI was 100 %. One patient with unprotected left main disease received coronary artery bypass grafting （CABG）. IVUS were performed on 6 patients to identify the plaque of coronary artery, choose interventional stents and evaluate effects of primary PCI. Conclusion The small digital-mobile X-ray machine can basically meet the needs of primary PCI with complete functions being controlled more simply and quickly. Therefore, it is one of basic instruments for the “Green Passage”.

关 键 词：移动式数字X线血管机 急诊医学 冠脉介入术 冠脉旁路术 急性心肌梗死 

分 类 号：R654.2[医药卫生—外科学] TH774[医药卫生—临床医学]