经皮冠状动脉介入治疗致冠状动脉穿孔并急性心脏压塞的临床分析  

Clinical analysis of percutaneous coronary intervention-induced coronary artery perforation and acute cardiac tamponade

作　　者：米绍妍[1] 

机构地区：[1]南阳油田总医院心内科,河南473132

出　　处：《当代医学》2011年第30期6-7,共2页Contemporary Medicine

摘　　要：目的探讨经皮冠状动脉介入治疗,导致冠状动脉穿孔并急性心脏压塞的发生,并分析其原因。方法 2009年01月至2011年05月期间,南阳油田总医院实施经皮冠状动脉介入治疗,导致冠状动脉穿孔并急性心脏压塞的3例患者,经B超检查确诊后,立刻实施心包引流,冠状动脉造影明确穿孔部位,实施冠状动脉球囊扩张术封堵穿孔。结果经皮冠状动脉介入治疗,导致冠状动脉穿孔并急性心脏压塞的3例患者,经过相应的对症处理后,血压脉搏等生命体征都恢复到正常范围,心电图和B超结果也在术后半个月都达到正常结果,术后一个月左右,患者出院。结论经皮冠状动脉介入治疗,操作轻柔,及早发现穿孔,做好相应处理,要做到减少和避免并发症的发生。Objective To evaluate percutaneous coronary intervention, induced coronary perforation and the occurrence of acute cardiac tamponade, and analyze their causes. Methods From January 2009 to May 2011 period, acute coronary perforation and cardiac tamponade occurred in 3 patients in our hospital after percutaneous coronary intervention. After diagnosed by B-ultrasound, the implementation of pericardial drainage was done immediately. And puncture site was found with coronary angiography, coronary artery balloon dilation was used to block the perforation. Results After appropriate symptomatic treatment, blood pressure, pulse and other vital signs in 3 patients returned to normal range, and B-ECG results were normal at 2 weeks, the patient was discharged. Conclusion Percutaneous coronary intervention should be done with gentle operation, early detection of perforation, make the appropriate treatment, in order to reduce and avoid complications.

关 键 词：经皮冠状动脉介入治疗 冠状动脉穿孔 急性心脏压塞 

分 类 号：R541.4[医药卫生—心血管疾病]