摘要
目的 探讨急性心肌梗死 (AMI)时 ,施行急诊经皮冠状动脉腔内成形术 (PTCA)的临床意义。方法 应用心导管技术 ,观察AMI患者PTCA前后血流动力学指标的改变。入选指标包括 :PCWP、MPAP、MAoP、LVEDP、CO、CI、PVR和SVR。结果 与术前相比 ,PTCA术后PCWP、MPAP和LVEDP三项指标明显下降 ,差异非常显著 (P <0 0 1)。余各项指标虽有改变 ,但差异无显著性。结论 AMI患者急诊PTCA术后 ,左心功能得到明显改善。
Objective To research the clinical significance of immediate Percutaneous Transluminal Coronary Angioplasty (PTCA) in patients with Acute Myocardial Infarction(AMI).Methods Using the catheterization,we observed the change of hemodynamic indices before and after PTCA in patients with AMI.The hemodynamic indices included PCWP,MPAP,MAoP,LVEDP,CO,CI,PVR and SVR.Results Compared with the indices of hemodynamics before PTCA,the indices of PCWP,MPAP and LVEDP was decreased significantly after PTCA ( P <0 01).The others was no improved significantly.Conclusion After PTCA,the left ventricular function was improved significantly in patients with AMI. [
出处
《中国急救医学》
CAS
CSCD
北大核心
2000年第7期400-401,共2页
Chinese Journal of Critical Care Medicine
关键词
急性心肌梗塞
血流动力学
PTCA
左心功能
Acute myocardial infarction
Percutaneous transluminal coronary angiololasty
Hemodynamics
