主动脉球囊反搏在急性心肌梗死患者中的应用(1)
[摘要]目的 探讨主动脉球囊反搏(IABP)在急性心肌梗死(AMI)患者中的临床应用和效果。方法 选取2013年2月～2015年6月我院收治入院的确诊为AMI 32例患者，均在我院行IABP及经皮冠状动脉介入治疗术(PCI)(研究组)，并选取同时期在本院接受常规治疗的AMI患者30例作为对照组。观察两组患者治疗前后血流动力学改变，并且对比分析两组并发症发生情况。结果 治疗后两组血流动力学改变明显，并且研究组改善情况明显优于对照组(P<0.05)。两组术中均无死亡病例。其中研究组术后9例出现并发症，术后住院期间告危6例，死亡4例；对照组术后16例出现并发症，告危患者11例，死亡7例。结论 AMI患者行IABP可取得显著效果，且术中安全，术后并发症少，突发AMI的死亡率降低。
[关键词]急性心肌梗死；主动脉球囊反搏；经皮冠状动脉介入治疗术；血流动力学
[中图分类号] R542.2+2 [文献标识码] A [文章编号] 1674-4721(2016)12(b)-0043-03
Application of intra-aortic balloon pump in patients with acute myocardial infarction
ZHANG Jing-wen CHENG Wang-sheng
Department of Cardiology，the Second People′s Hospital of Jingdezhen City in Jiangxi Province，Jingdezhen 333000，China
[Abstract]Objective To investigate the clinical application and effect of intra-aortic balloon pump (IABP) in patients with acute myocardial infarction (AMI).Methods Altogether 32 cases of patients diagnosed as AMI，admitted into our hospital from February 2013 to June 2015 and treated with IABP and percutaneous coronary intervention (PCI) were selected as study group.Another 30 patients with AMI who accepted routine treatment during the same period in our hospital were selected as control group.Changes of hemodynamics were observed before and after treatment in two groups，and the incidence of complications between two groups were compared and analyzed.Results Hemodynamic changes in two groups were seen obviously(P<0.05).Among which greater improvements occurred in study group than control group，there were no dead cases in the two groups intra-operatively.But 9 cases of post-operative complications happened in study group，during the period of hospitalization，6 cases of critical illnesses and 4 cases of deaths occurred post-operatively in study group.In contrast，16 cases of post-operative complications，11 cases of critical illnesses and 7 cases of deaths occurred in control group.Conclusion IABP in patients with AMI has achieved remarkable results with intra-operative safety，minor post-operative complications and lower mortality rate.
[Key words]Acute myocardial infarction；Intra-aortic ballon Pump；Percutaneous Coronary Intervention；Hemodynamics
心脑血管疾病一直是临床危重症之一，急性心肌梗死(acute myocardial infarction，AMI)是因长时间心肌严重缺血所导致的部分心肌坏死性疾病，在临床上其常表现为胸痛、急性循环功能障碍以及反映心肌缺血、损伤、坏死等一系列特征明显的心电图改变。近年来中国发病人数明显呈上升趋势[1]。主动脉内球囊反搏(intra-aortic ballon pump，IABP)术为常用的机械辅助循環方法，适用于AMI并心源性休克，当补充血容量及应用血管活性药物后血流动力学不能稳定时，应尽早经皮插入IABP导管，并在IABP支持下行冠状动脉造影和血管重建治疗[2]。现分析总结AMI在行IABP及在其支持下行经皮冠状动脉介入治疗术(percutaneous coronary intervention，PCI)的临床资料和治疗情况如下。 (张景文 程王生)
[关键词]急性心肌梗死；主动脉球囊反搏；经皮冠状动脉介入治疗术；血流动力学
[中图分类号] R542.2+2 [文献标识码] A [文章编号] 1674-4721(2016)12(b)-0043-03
Application of intra-aortic balloon pump in patients with acute myocardial infarction
ZHANG Jing-wen CHENG Wang-sheng
Department of Cardiology，the Second People′s Hospital of Jingdezhen City in Jiangxi Province，Jingdezhen 333000，China
[Abstract]Objective To investigate the clinical application and effect of intra-aortic balloon pump (IABP) in patients with acute myocardial infarction (AMI).Methods Altogether 32 cases of patients diagnosed as AMI，admitted into our hospital from February 2013 to June 2015 and treated with IABP and percutaneous coronary intervention (PCI) were selected as study group.Another 30 patients with AMI who accepted routine treatment during the same period in our hospital were selected as control group.Changes of hemodynamics were observed before and after treatment in two groups，and the incidence of complications between two groups were compared and analyzed.Results Hemodynamic changes in two groups were seen obviously(P<0.05).Among which greater improvements occurred in study group than control group，there were no dead cases in the two groups intra-operatively.But 9 cases of post-operative complications happened in study group，during the period of hospitalization，6 cases of critical illnesses and 4 cases of deaths occurred post-operatively in study group.In contrast，16 cases of post-operative complications，11 cases of critical illnesses and 7 cases of deaths occurred in control group.Conclusion IABP in patients with AMI has achieved remarkable results with intra-operative safety，minor post-operative complications and lower mortality rate.
[Key words]Acute myocardial infarction；Intra-aortic ballon Pump；Percutaneous Coronary Intervention；Hemodynamics
心脑血管疾病一直是临床危重症之一，急性心肌梗死(acute myocardial infarction，AMI)是因长时间心肌严重缺血所导致的部分心肌坏死性疾病，在临床上其常表现为胸痛、急性循环功能障碍以及反映心肌缺血、损伤、坏死等一系列特征明显的心电图改变。近年来中国发病人数明显呈上升趋势[1]。主动脉内球囊反搏(intra-aortic ballon pump，IABP)术为常用的机械辅助循環方法，适用于AMI并心源性休克，当补充血容量及应用血管活性药物后血流动力学不能稳定时，应尽早经皮插入IABP导管，并在IABP支持下行冠状动脉造影和血管重建治疗[2]。现分析总结AMI在行IABP及在其支持下行经皮冠状动脉介入治疗术(percutaneous coronary intervention，PCI)的临床资料和治疗情况如下。 (张景文 程王生)