摘要
目的探讨急性冠脉综合征合并严重三支血管病变患者应用主动脉内球囊反博(IABP)治疗效果。方法分析急性冠脉综合征患者30例临床资料,冠状动脉造影可见有3支血管不同程度的病变,在IABP循环支持下给予PCI术治疗。结果 IABP治疗后SBP、DBP、MAP、HR、SaO2、LVEF、PCWP、CI较术前明显改善,同时,急性冠脉综合征合并严重三支血管病变患者存活27例(90%),死亡3例(10%)。结论主动脉内球囊反博治疗急性冠脉综合征临床治疗效果明显,值得临床推广应用。
Objective To explore the therapeutic effect of intra-aortic balloon pump （IABP） application in patients with acute coronary syndrome （ACS） combined with severe triple vessel diseases （STVD）. Methods The clinical data from 30 pa- tients suffering from ACS were analyzed. Coronary angiography indicated three vascular lesions at varied degrees. Par- ticipants were treated by percutaneous coronary intervention （PCt）. under the cycle support of IABP. Results The index- es like systolic blood pressure （SBP）, diastolic blood pressure （DBP）, mean arterial pressure （MAP）, heart rate （HR）, oxygen saturation （SaO2）, left ventricular ejection fraction （LVEF）, pulmonary capillary wedge pressure （PCWP）, and cardiac index （CI） were greatly improved before operation. Meanwhile, the study found that the patient＇s survival rate was 90% and mortality rate was only 10%. Conclusion IABP as an auxiliary effective cycle method to treat ACS will play active role in ACS with combination of STVD if it is applied as early as possible.
出处
《中国当代医药》
2013年第12期55-55,57,共2页
China Modern Medicine
关键词
急性冠脉综合征
三支血管病变
IABP
平均动脉压
Acute coronary syndrome （ACS）
Triple vessel disease
Intra-aortic balloon pump
Mean arterial Pressune
