体外膜肺氧合联合主动脉内球囊反搏行经皮冠状动脉介入治疗急性心肌梗死患者左主干分叉病变1例
杜润,张瑞岩,沈卫峰
摘要(Abstract):
<正>1临床资料患者男,63岁。因"活动后胸闷、胸痛5年余,加重伴呼吸困难1 d"于2017年7月3日入住上海交通大学医学院附属瑞金医院。患者既往高血压病史10余年,平时口服硝苯地平,血压控制在140/90 mm Hg(1 mm Hg=0.133 k Pa)左右;银屑病史20余年,长期外用激素软膏治疗。本次入院3周前自觉染发后面部瘙痒脱屑加重,于就近医院诊治,
关键词(KeyWords): 体外膜肺氧合;主动脉内球囊反搏;急性心肌梗死;心源性休克;经皮冠状动脉介入治疗
基金项目(Foundation):
作者(Author): 杜润,张瑞岩,沈卫峰
参考文献(References):
- [1]Goldberg RJ,Spencer FA,Gore JM,et al.Thirty-year trends(1975 to 2005)in the magnitude of,management of,and hospital death rates associated with cardiogenic shock in patients with acute myocardial infarction a population-based perspective.Circulation,2009,119(9):1211–1219.
- [2]De Lezo JS,Pan M,Medina A,et al.Percutaneous cardiopulmonary support in critical patients needing coronary interventions with stents.Catheter Cardiovasc Interv,2002,57(4):467-475.
- [3]Guarneri EM,Califano JR,Schatz RA,et al.Utility of standby cardiopulmonary support f or elective coronary interventions.Catheter Cardiovasc Interv,1999,46(1):32-35.
- [4]Sheu JJ,Tsai TH,Lee FY,et al.Early extracorporeal membrane oxygenator-assisted primary percutaneous coronary intervention improved 30-day clinical outcomes in patients with ST-segment elevation myocardial inf arction complicated with prof ound cardiogenic shock.Crit Care Med,2010,38(9):1810-1817.
- [5]Tsao NW,Shih CM,Yeh JS,et al.Extracorporeal membrane oxygenation–assisted primary percutaneous coronary intervention may improve survival of patients with acute myocardial infarction complicated by profound cardiogenic shock.J Crit Care,2012,27(5):530.e1-e11.
- [6]Thiele H,Zeymer U,Neumann FJ,et al.IABP-SHOCK II Trial Investigators.Intraaortic balloon support for myocardial infarction with cardiogenic shock.N Engl J Med,2012,367(14):1287–1296
- [7]Patel MR,Smalling RW,Thiele H,et al.Intra-aortic balloon counterpulsation and infarct size in patients with acute anterior myocardial infarction without shock:the CRISP AMI randomized trial.JAMA,2011,306(12):1329–1337.
- [8]Ibanez B,James S,Agewall S,et al.2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology(ESC).Eur Heart J,2018,39(2):119-177.
- [9]Cheng JM,den Uil CA,Hoeks SE,et al.Percutaneous lef t ventricular assist devices vs.intra-aortic balloon pump counterpulsation for treatment of cardiogenic shock:a meta-analysis of controlled trials.Eur Heart J,2009,30(17):2102-2108.
- [10]Romeo F,Acconcia MC,Sergi D,et al.Percutaneous assist devices in acute myocardial infarction with cardiogenic shock:Review,meta-analysis.World J Cardiol,2016,8(1):98-111.