李国庆,穆叶赛·尼加提,雷建新,戴晓燕,王钊,阿木提·司马义,阿德,余小林,郭自同,王保风,谢芳

• 1:新疆维吾尔自治区人民医院心内科

摘要(Abstract)：

目的探讨冠心病经皮冠状动脉介入治疗(PCI)并发冠状动脉穿孔致急性心脏压塞的临床特征、处理方法,以提高抢救成功率。方法回顾性分析2005年1月至2015年12月在新疆维吾尔自治区人民医院心内科住院行PCI时并发冠状动脉穿孔导致急性心脏压塞的冠心病患者13例,分析发生原因、临床表现、处理方法及预后。结果所有患者均得到及时诊断,心包穿刺均获得成功,心包腔内注入凝血酶冻干粉500~1000 U得到有效止血,术后2 h、4 h、6 h、24 h及出院前复查心脏超声未发现新的心包积液及心包粘连。所有患者出院后6个月随访心脏超声未见心包缩窄或粘连。结论急性心脏压塞是PCI术中严重的并发症之一,一旦诊断明确,需紧急心包穿刺引流。心包腔内注入凝血酶能成功止血,提高抢救成功率。

关键词(KeyWords)： 经皮冠状动脉介入治疗;冠状动脉穿孔;心脏压塞;凝血酶

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李国庆,穆叶赛·尼加提,雷建新,戴晓燕,王钊,阿木提·司马义,阿德,余小林,郭自同,王保风,谢芳

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