摘要
急性心肌梗死患者伴多支血管病变在临床上较多见。本文通过对1例急性前壁心肌梗死伴慢性肾脏病患者的诊治经过进行分析,讨论该类患者的介入手术策略选择及造影剂肾病的风险预估,旨在说明急性前壁心肌梗死伴慢性肾脏病患者急诊经皮冠状动脉介入术(PCI)中是否进行完全血运重建需根据患者具体情况而定,伴有其他疾病时应更慎重。
Acute myocardial infarction complicated with multi-vessel disease is more common in clinic.In this paper,we analyzed the diagnosis and treatment of a patient with acute anterior myocardial infarction complicated with chronic kidney disease,and discussed the choice of interventional surgical strategy and the risk of contrast nephropathy in this kind of patients.The aim is to explain whether complete revascularization in emergency percutaneous coronary intervention(PCI)should be customized according to the specific conditions of patients,and it is more prudent to be accompanied by other diseases.
作者
刘东升
刘娜
李彬
LIU Dongsheng;LIU Na;LI Bin(Department of Cardiology,Cangzhou People's Hospital,Cangzhou 061001,China)
出处
《实用心脑肺血管病杂志》
2021年第9期125-128,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
沧州市重点研发计划指导项目(204106066)。
关键词
前壁心肌梗死
慢性肾脏病
经皮冠状动脉介入治疗
完全血运重建
病例报告
Anterior wall myocardial infarction
Chronic kidney disease
Percutaneous coronary intervention
Complete revascularization
Case reports
