主动脉内球囊反搏泵辅助下急诊经皮冠状动脉介入治疗左主干急性闭塞一例
朱政斌,张建盛,张瑞岩,沈卫峰
摘要(Abstract):
<正>1临床资料患者男,65岁,2014年6月23日上午9:07因剧烈胸痛伴呼吸困难、大汗淋漓90 min来院急诊。否认高血压病、糖尿病和既往心血管疾病史,有吸烟史30余年。查体:一般状态可,对答切题,心率76次/min,窦性心律,血压96/58 mm Hg(1 mm Hg=0.133 k Pa),两肺少量湿啰音,未见颈静脉怒张及下肢浮肿。心电图示:V1~V6、Ⅰ、a VL导联ST
关键词(KeyWords): 主动脉内球囊反搏泵;急性心肌梗死;经皮冠状动脉介入治疗
基金项目(Foundation):
作者(Author): 朱政斌,张建盛,张瑞岩,沈卫峰
参考文献(References):
- [1]Steg PG,James SK,Atar D,et al.ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation.Eur Heart J,2012,33:2569-2619.
- [2]Thiele H,Zeymer U,Neumann FJ,et al.Intra-aortic balloon counterpulsation in acute myocardial infarction complicated by cardiogenic shock(IABP-SHOCKⅡ):final 12 month results of a randomised,open-label trial.Lancet,2013,382:1638-1645.
- [3]王元,肖华,张金霞,等.急性心肌梗死合并心源性休克或血流动力学紊乱患者应用主动脉内球囊反搏术后影响临床疗效的危险因素分析.中国介入心脏病学杂志,2014,22:681-684.
- [4]Dharma S,Dakota I,Firdaus I,et al.The Use of Intra-aortic Balloon Pump in a Real-World Setting:A Comparison between Survivors and Nonsurvivors from Acute Coronary Syndrome Treated with IABP.The Jakarta Acute Coronary Syndrome Registry.Int J Angiology,2013,22:213-222.