摘要
目的:探讨液体复苏联合临时心脏起搏在急性右心梗死患者PCI术中的保护作用。方法:对58例下壁及右室心梗患者根据术前是否存在低血压和(或)缓慢心律失常分为两组:低血压和(或)缓慢心律失常组(低缓组)与无低血压和(或)缓慢心律失常组(无低缓组),低缓组PCI术前进行液体复苏、植入临时心脏起搏器;无低缓组PCI术前给予输液、抗凝等常规治疗,观察其临床效果。结果:低缓组术中发生低血压的程度和(或)严重心律失常发生率低,无低缓组术中发生率高,两组患者在PCI术中低血压程度有显著性差异(P<0.05),缓慢性心律失常发生率有显著性差异(P<0.05)。结论:PCI术前液体复苏联合临时心脏起搏可有效减轻PCI术中低血压严重程度,减少心源性休克发生,对再灌注后心律失常的发生有一定的抑制作用。
Objective: To investigate the effect of fluids resuscitation combined temporary pacemaker on myocardial infarction.Methods: Inferior wall and right ventricular myocardial infarction patients,were grouped into hypotension group and non-hypotension group according to the blood pressure level before the PCI operation.The patients underwent the fluid resuscitation treatment and temporary pacemaker,the clinical effect was observed.Results: After the treatment.The blood pressure of hypotension group was increased,there was a significantly difference in two group of incidence of hypotension in the process of PCI(P0.05);arrhythmia of the process of PCI was slowing arrhythmia,the incidence of arrhythmia have the difference(P0.05).Conclusion: It is helpful for relieving the damage of the hypotension shock,and preventing the incidence of the arrhythmia after reperfusion.
出处
《陕西医学杂志》
CAS
2011年第5期555-558,共4页
Shaanxi Medical Journal