急诊冠状动脉搭桥术治疗急性心肌梗死的临床效果观察  

The Clinical Effect of Emergency Coronary Artery Bypass Grafting in the Treatment of Acute Myocardial Infarction

作　　者：崔义[1] 

机构地区：[1]吉林省人民医院,130021

出　　处：《中国卫生标准管理》2015年第18期54-55,共2页China Health Standard Management

摘　　要：目的分析探讨对于急性心肌梗死患者（AMI）应用急诊冠状动脉搭桥术的临床效果。方法将我院2013年2月~2014年1月之间收治的24例行急诊冠状动脉搭桥术的急性心肌梗死患者作为观察对象,回顾性分析患者的临床资料和手术效果。结果本组中20例患者成功得到救治,手术的成功率为83.33%。患者的死亡原因有左室高侧壁破裂、低心排和非栓塞,其中1例患者在术后2天出现室颤现象,经过抢救脱离危险;患者术后的心输出量、中心静脉压和肺动脉血楔压均有明显改善,差异具有统计学意义（P〈0.05）。结论急诊冠状动脉搭桥术值治疗心肌梗死患者很好的手段,通过完善的抢救措施和优秀的冠状动脉搭桥术能够很好的改善患者的病情,提高抢救成功率。Objective To investigate the clinical effect of emergency coronary artery bypass grafting（AMI） in patients with acute myocardial infarction（AMI）. Methods In our hospital in February 2013~2014 years between January were 24 cases underwent emergency coronary artery bypass in patients with acute myocardial infarction patients as the observation object, were retrospectively analyzed the clinical data and surgical outcome of. Results 20 patients were treated successfully, the success rate of operation was 83.33%. The causes of death in patients with left ventricular lateral wall rupture, low cardiac output and non plug, among them 1 patients in postoperative 2 days appeared ventricular fibrillation phenomenon, after the rescue out of danger; postoperative cardiac output output and central venous pressure and pulmonary artery wedge pressure were improved obviously. The difference was statistically significance（P〈0.05）. Conclusion Emergency coronary artery bypass grafting value for treatment of myocardial infarction in patients with very good, through perfect rescue measures and excellent coronary artery bypass grafting can improve the patient＇s condition, improve the success rate of rescue.

关 键 词：冠状动脉搭桥 急性心肌梗死 临床治疗 

分 类 号：R541.4[医药卫生—心血管疾病]