| 急性心肌梗死介入治疗中应用抽吸导管对心肌再灌注的影响 |
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| 引用本文： | 李媛媛,胡波,商德亚,来庆友. 急性心肌梗死介入治疗中应用抽吸导管对心肌再灌注的影响[J]. 临床心血管病杂志, 2009, 25(5) |
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| 作者姓名： | 李媛媛 胡波 商德亚 来庆友 |
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| 作者单位： | 浙江大学医学院附属第二医院脑重症室,杭州,310009;山东大学附属省立医院急诊科 |
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| 摘 要： | 目的:分析在急性ST段抬高型心肌梗死(STEMI)急诊行经皮冠状动脉介入治疗(PCI)中应用抽吸导管对心肌再灌注影响.方法:首次STEMI行PCI患者80例,随机分为试验组(41例,应用抽吸导管后再行PCI),对照组(39例,直接行PCI).比较2组术后即刻计算校正TIMI计帧数和心肌Blush分级、术中慢复流现象、心电图90 min ST段下降率.在术后24 h、1周时应用心肌声学造影计算灌注对比积分指数(CSI)、室壁运动积分指数(WMSI).结果:PCI后试验组的校正TIMI计帧数明显低于对照组,Blush分级≥2级获得率高于对照组,慢复流现象减少;再通后90 min心电图相关导联ST段下降率试验组明显大于对照组(P<0.05).同时在研究的每一个时点,试验组CSI、WMSI较对照组明显降低(P<0.05).结论:在STEMI急诊行PCI中应用抽吸导管可改善梗死相关血管前向血流情况,改善心肌再灌注,减少无复流现象.
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| 关 键 词： | 血管成形术 经腔 经皮冠状动脉 心肌梗死 抽吸导管 |
Effects of aspiration cathter on myocardial reperfusion in patients with acute myocardial infarction treated by primarypercutaneous coronary intervention |
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| LI Yuanyuan,HU Bo,SHANG Deya,LAI Qingyou. Effects of aspiration cathter on myocardial reperfusion in patients with acute myocardial infarction treated by primarypercutaneous coronary intervention[J]. Journal of Clinical Cardiology, 2009, 25(5) |
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| Authors: | LI Yuanyuan HU Bo SHANG Deya LAI Qingyou |
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| Affiliation: | 1Department of Neuroscience Care Unit;2nd Affiliated Hospital;School of Medicine;Zhejiang University;Hangzhou;310009;China;2Department of Emergency;Provincial Hospital;Shandong University |
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| Abstract: | Objective:To investigate the effects of aspiration catheter on myocardial reperfusion in patients with STEMI treated by primary percutaneous coronary intervention(PCI).Method:Eighty patients with primary STEMI who underwent primary PCI were randomized into two groups. Fourty-one patients in experimental group were treated with aspiration catheter,Tirty nine patients in control group were treated routinely without aspiration catheter. corrected TIMI frame count (CTFC) and myocardial blush grade after PCI ,th... |
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| Keywords: | angioplasty transluminal percutaneous coronary myocardial infarction aspiration catheter |
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