| 急诊经皮冠状动脉介入术治疗急性心肌梗死合并低血压的临床观察 |
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| 引用本文： | 张科林,雷建强,辛宏,李凯,刘东武.急诊经皮冠状动脉介入术治疗急性心肌梗死合并低血压的临床观察[J].山西医科大学学报,2011,42(12):975-978. |
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| 作者姓名： | 张科林 雷建强 辛宏 李凯 刘东武 |
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| 作者单位： | 1. 西安医学院附属医院心内科,西安,710077
2. 中冶陕压重工设备有限公司职工医院心内科 |
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| 摘 要： | 目的探讨优化应用升压药物(静脉注射多巴胺配合动脉注射生理盐水)和主动脉内球囊反搏(IABP)支持下急诊经皮冠状动脉介入术(PCI)治疗急性心肌梗死(AMI)合并低血压的临床疗效。方法观察44例AMI合并低血压患者分别在优化应用升压药及IABP支持下急诊行PCI 32例(手术组)和非手术12例的疗效。结果优化应用升压药及IABP支持下急诊PCI明显较非手术患者降低了院内病死率(15.6%vs 50.0%,P<0.05)。手术组优化应用升压药患者,稳定血压所需时间和出现恶心、呕吐者减少。结论 AMI合并低血压早期行优化应用升压药或IABP支持下急诊PCI可明显降低其院内病死率,应用优化升压药方案配合急诊PCI治疗AMI合并低血压具有方便、快捷、高效的特点。
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| 关 键 词： | 急性心肌梗死 低血压 经皮冠状动脉介入 升压药物 主动脉内球囊反搏 |
Emergency percutaneous coronary intervention in treatment of patients with acute myocardial infarction complicated by hypotension |
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| ZHANG Ke-lin,LEI Jian-qiang,XIN Hong,LI Kai,LIU Dong-wu.Emergency percutaneous coronary intervention in treatment of patients with acute myocardial infarction complicated by hypotension[J].Journal of Shanxi Medical University,2011,42(12):975-978. |
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| Authors: | ZHANG Ke-lin LEI Jian-qiang XIN Hong LI Kai LIU Dong-wu |
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| Institution: | ZHANG Ke-lin1,LEI Jian-qiang2,XIN Hong1,LI Kai1,LIU Dong-wu1(1Dept of Cardiology,Affiliated Hospital of Xi'an Medical University,Xi'an 710077,China,2Dept of Cardiology,Hospital of MCC-SFRE Heavy Industry Equipment Co.Ltd.) |
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| Abstract: | Objective To explore the clinical efficacy of percutaneous coronary intervention(PCI) with the support of pressor agent(intravenous injection of dopamine combined with artery injection of normal saline) and intra-aortic balloon pump(IABP) in patients with acute myocardial infarction(AMI) complicated by hypotension.Methods A total of 44 patients diagnosed as AMI complicated by hypotension were divided into two groups by whether or not patients underwent emergency PCI:PCI group(n=32) and non-PCI group(n=12).T... |
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| Keywords: | acute myocardial infarction hypotension percutaneous coronary intervention pressor agent intra-aortic balloon pump |
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