液体复苏联合临时心脏起搏对急性右心梗死PCI术保护作用的研究

Prevention of fluid resuscitation on the PCI perioperative hypotension of acute myocardial infarction

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.