急诊经皮冠状动脉介入术联合体外肺膜氧合成功救治急性ST段抬高型心肌梗死1例报道  

Emergency percutaneous coronary intervention combined with extracorporeal membrane oxygenation for acute ST-segment elevation myocardial infarction:A case report

作　　者：姜俊[1] 唐云 张颖[3] 赵艳超 刘迟[4] JIANG Jun;TANG Yun;ZHANG Ying;ZHAO Yanchao;LIU Chi(Department of Emergency,Jing’an District Central Hospital of Shanghai,Shanghai 200040,China;Department of Equipment,Jing’an District Central Hospital of Shanghai,Shanghai 200040,China;Department of Emergency&Critical Medicine,East Hospital of Tongji University,Shanghai 200120,China;Department of Geriatric Center,Jing’an District Central Hospital of Shanghai,Shanghai 200040,China)

机构地区：[1]上海市静安区中心医院急诊科,上海200040 [2]上海市静安区中心医院设备科,上海200040 [3]同济大学附属东方医院急危重症科,上海200120 [4]上海市静安区中心医院老年中心科,上海200040

出　　处：《外科研究与新技术（中英文）》2024年第2期175-178,共4页Surgical Research and New Technique

摘　　要：急性ST段抬高型心肌梗死(STEMI)是冠心病的严重类型之一,通过介入手段早期快速开通梗死相关动脉是改善预后的关键,部分急性STEMI患者易出现心源性休克,导致介入治疗无法实施。体外膜肺氧合(ECMO)技术通过呼吸和循环功能支持,使介入治疗的安全性和有效性得以提高。本文报告通过急诊经皮冠状动脉介入术联合ECMO成功救治1例STEMI患者的过程,并讨论如何提高急性STEMI尤其是合并心源性休克患者的救治成功率。Acute ST-segment elevation myocardial infarction(STEMI)is one of the serious types of coronary heart disease.Early and rapid opening of infarction related arteries by interventional means is the key to improving prognosis.Some patients with acute STEMI are prone to cardiogenic shock,which makes interventional therapy impossible.Extracorporeal membrane oxygenation(ECMO)can improve the safety and effectiveness of interventional therapy by supporting respiratory and circulatory functions.This paper reported a case of acute STEMI successfully treated by emergency percutaneous coronary intervention combined with ECMO,and discussed how to improve the success rate of acute STEMI,especially in patients with cardiogenic shock.

关 键 词：急性ST段抬高型心肌梗死 心源性休克 经皮冠状动脉介入术 体外膜肺氧合 

分 类 号：R543.31[医药卫生—心血管疾病]