主动脉球囊反搏在急性心肌梗死急诊冠脉介入围术期的临床应用  

Application of intra-aortic balloon counterpulsation for AMI during the perioperative period of percutaneous coronary intervention

作　　者：刘华[1] 贾绍斌[2] 沙勇[2] 魏宁[2] 仇玉民[2] 王学忠[2] 张亮[2] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学附属医院,宁夏银川750004

出　　处：《宁夏医学杂志》2010年第2期125-127,共3页Ningxia Medical Journal

摘　　要：目的观察急诊经皮冠状动脉介入治疗(PCI)时,主动脉球囊反搏装置(IABP)的应用对急性心肌梗死(AMI)患者手术耐受性、生命指征的影响。方法急诊PCI治疗中,对28例AMI患者,在PCI围术期植入IABP装置,观察介入治疗过程中IABP装置植入前后患者的手术耐受性、有创血压、心率、死亡率等指标变化。结果28例患者植入IABP均成功。25例具有明显心源性休克临床表现的患者有23例成功开通梗死相关动脉(IRA),手术成功率82.1%;有19例能够耐受PCI治疗治愈出院,生存率76%;6例死亡,死亡率24%。结论急诊PCI围术期应用IABP,对已合并心源性休克的患者可稳定血流动力学状态,提高手术耐受性和手术成功率,降低死亡率。Objective To observe the effects of intra - aortic balloon counterpulsation （IABP） on tolerance of percutaneous coronary intervention （PCI）, life signs of patients with acute myocardial infarction （AMI） during PCI performed. Methods 28 AMI patients was complicated with or without cardiogenic shock were put on IABP during the perioperative period of PCI , and tolerance of PCI, iBP, HR and death rate of patients were observed before and after IABP. Results 28 cases had all IABP succeeded. 23 of 25 ca- ses with cardiogenic shock had their infarction related arteries （IRA） unblocked and the successful rate was 82.1% ; 19 of 25 patients like that could endure emergency PCI and the survival rate was 76% ; 6 cases died of cardiogenic shock and the death rate was 24 %. Conclusion PCI supported by IABP can improve the tolerance and successful rate of the PCI treatment, and decrease the death rate.

关 键 词：急性心肌梗死 心源性休克 主动脉球囊反搏装置 冠状动脉介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]