急诊PCI术中再灌注心律失常的急救方法研究  

作　　者：黄明剑[1] 潘朝锌[1] 何新兵[1] 王庆高[1] 吴万里[1] 

机构地区：[1]广西中医药大学第一附属医院心血管内科,广西南宁530023

出　　处：《世界中医药》2017年第A01期444-444,共1页World Chinese Medicine

摘　　要：目的探讨急诊PCI术中再灌注心律失常的急救方法。方法选择90例行急诊经皮冠状动脉介入治疗(PCI)出现再灌注心律失常患者，对其实施急救方法。结果54例为快速型心律失常，占60%，30例自行恢复，17例室性心动过速予利多卡因静脉注射后恢复窦性心律，5例心室颤动，实施电除颤后转为窦性心律，2例心脏骤停进行心脏按压、电除颤后变为窦性心律；36例为缓慢型心律失常，占40%，28例经阿托品、多巴胺静脉注射后心率恢复正常，8例需安装临时起搏器。结论医护人员在术前要做好准备工作，术中要严密监控，发生心律失常时要及时采取急救措施，有效降低心律失常的危害。Objective:To explore the first aid method of reperfusion arrhythmia in emergency PCI.Methods:Ninety patients underwent emergency percutaneous coronary intervention for arrhythmia.Results:Fifty-four patients had tachyarrhythmias(60%),30patients had spontaneous recovery,17patients had ventricular tachycardia,5patients had ventricular fibrillation and5patients had sinus rhythm after intravenous injection of lidocaine.Sinus rhythm,2cases of cardiac compression,electric defibrillation into sinus rhythm;36cases of slow arrhythmia,accounting for40%,28cases by atropine,dopamine intravenous heart rate returned to normal,8patients required temporary pacemaker.Conclusion:The medical staff should be well prepared before operation.During the operation,it should be closely monitored.In case of arrhythmia,first aid measures should be taken in time to reduce the harm of arrhythmia effectively.

关 键 词：急诊PCI术 再灌注心律失常 急救方法 

分 类 号：R969.4[医药卫生—药理学]