心肺复苏后急诊冠状动脉成形术7例  

ACUTE PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTYAFTER CARDIOPULMONARY RESUSCITATION

作　　者：卢军[1] 王风[1] 林英忠[1] 

机构地区：[1]广西壮族自治区人民医院心内科,南宁530021

出　　处：《广西医科大学学报》2001年第3期367-368,共2页Journal of Guangxi Medical University

摘　　要：目的 :探讨心肺复苏对急诊经皮冠状动脉成形术 (PTCA )的安全性和疗效的影响。方法 :2 1例急性心肌梗死患者有7例在急诊 PTCA术前、术中出现室性心动过速和心室颤动 ,6例经电除颤和胸外按压 ,1例经静注利多卡因转复窦性心律 ,其中 2例合并呼吸停止或呼吸浅慢 ,需行气管插管、呼吸机或气囊人工辅助呼吸。结果 :7例患者均完成急诊 PTCA,术后无一例出现与心肺复苏相关的出血并发症。结论 :心肺复苏后继续完成急诊 PTCA是安全的 ,且不影响 PTCA的效果。Objactive: To investigate the effect and safety of acute percutaneous transluminal coronary angioplasty (PTCA) after cardiopulmonary resuscitation.Methods: 7 cases of 21 acute myocardial infarction suffered from ventricular tachycardia and ventricular fibrillation before or in acute PTCA. 6 cases reverted to sinus rhythrn with electric defibrillation and external chest compression, and 1 case with infation lidocaine. Among 2 cases used tracheal intubation and respirator because of respiration stop or hypopnea.Results: All of the cases had been successfully operated on with acute PTCA. But none had complication of relative with cardio-pulmonary resuscitation. Conclution: Acute PTCA is safe after cardiopulmonary resuscitation, and no beside-effect for acute PTCA.

关 键 词：心肺复苏 经皮冠脉成形术 急性心肌梗死 

分 类 号：R654.2[医药卫生—外科学]