急性心肌梗死患者急诊冠脉介入术中血栓抽吸对再灌注的影响  

Effects of aspiration thrombectomy catheter on myocardial reperfusion in patients with acute myocardial infarction

作　　者：吴方斌[1] 刘倩[1] 朱红涛[1] 汪坤[1] 周杰[1] 李必龙[1] 严凌[1] 

机构地区：[1]铜陵市人民医院心血管内科,安徽铜陵244000

出　　处：《皖南医学院学报》2011年第6期472-474,共3页Journal of Wannan Medical College

摘　　要：目的:评价急性心肌梗死(AMI)患者行急诊经皮冠状动脉介入(PCI)治疗中予血栓抽吸治疗的有效性及安全性。方法:选择诊断为AMI并行急诊PCI治疗的患者60例,分为两组,其中血栓抽吸+PCI组30例,PCI组30例。观察两组患者的心肌酶峰值、ST段抬高最高导联术后2 h回落幅度、超声心动图、冠脉造影术中血流情况及院内心脏不良事件发生率。结果:与PCI组比较,血栓抽吸+PCI组肌酸激酶峰值明显下降、ST段回落幅度明显增大、心脏功能和结构及心肌组织灌注明显改善。结论:血栓抽吸术的应用可改善心脏的结构和功能,并且是安全的。Objective：To evaluate the safety and efficacy of thrombus aspiration in acute myocardial infarction（AMI） patients undergoing pereutaneous coronary intervention（PCI）.Methods：Sixty AMI patients undergoing PCI were randomized into 2 groups,thrombus aspiration ＋ PCI（n=30） and PCI（n=30）,and observed concerning the peak value of cardiac enzyme,depression of elevated ST segment in 2h,echocardiography findings,hemodynamics during PCI and in-hospital incidence of cardiac events.Results：Compared with the PCI group,the peak value in thrombus aspiration ＋ PCI group was significantly lowered,with marked depression of ST segment,improvement of cardiac function and configuration as well as better myocardial perfusion.Conclusion：Thrombus aspiration can improve the cardiac function and configuration for AMI patients undergoing PCI and thus,is safe in clinical application.

关 键 词：急性心肌梗死 血栓抽吸 介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]