摘要
目的观察急性心肌梗死（AMI）急诊接受经皮冠状动脉介入治疗（PCI）患者在主动脉球健支持下预后影响因素及护理对策。方法回顾分析27例经绿色通道行急诊PCI治疗AMI后，应用卞动脉球睫反搏患者临床一般资料、临床特征及介入治疗情况。结果27例患者康复12例，反复心衰发作4例，院内死亡11例。存活组和死亡组年龄、性别、高血压、糖尿病吸烟史。梗死部位、左室射血分数比较差异尤统计学意义，Killip 1～2级、PCI术后无血流比较差异有统计学意义（P〈0．05）：结论Killip 1～2级、PCI术后无m流是影响患者预后的相关因素。
Objective To investigate the effect of prognostic factors and nursing care in of acute myocardial infarction （AMI） patients performed emergency percutaneous coronary intervention supported by IABP. Methods Twenty seven AMI patients treated with emergency PCI, supporting by intra-aortie balloon pump （IABP）. We analyzed retrospectively clinical characters and situation of interventional treatment of the patients. Results Among 27 cases, there were 12 cases who were recovered, 4 suffered congestive heart tailure repeatedly, and 11 died during the hospitalization. There was no difference in age, sex, the history of hypertension, diabetes and smoking, the site of infarction and ejection fraction of left ventricular. The prognosis was different in the patients with grade of Killip in cardiac function and no flow post PCI （ P 〈 0. 05 ）. Conclusions The grade of Killip and no flow post PCI were the effective factors for prognosis in Acute Myocardial patients with emergency PCI.
出处
《中华现代护理杂志》
2009年第31期3239-3241,共3页
Chinese Journal of Modern Nursing
关键词
急性心肌梗死
主动脉球囊反搏
经皮冠状动脉介入
影响因素
Acute myocardial infarction
Intra-aortic baiion eounterpulsation
Percutaneous coronary intervention
Influencing factor
