肺部超声在老年急性前壁心肌梗死早期管理中的应用价值

Application value of lung ultrasound in early management of elderly patients with acute anterior myocardial infarction

目的探讨肺部超声在老年急性前壁心肌梗死早期管理中的应用价值。方法回顾性分析2017~2018年行急诊血运重建术的老年急性前壁心肌梗死病人349例,分为对照组178例,观察组171例。对照组根据急性ST段抬高型心肌梗死指南进行常规治疗,观察组在常规治疗的基础上,在肺部超声指导下调整治疗。结果观察组病人的心脏科重症监护室(CCU)平均住院天数、症状性心力衰竭发作次数、利尿剂用量少于对照组(P<0.05);观察组病人的出院肌酐水平低于对照组(P<0.05)。结论肺部超声可优化急性前壁心肌梗死的早期管理,减少症状性心力衰竭发作,有很高的临床应用价值,值得在CCU广泛推广。

Objective To investigate the value of lung ultrasound in the early management of elderly patients with acute anterior myocardial infarction undergoing revascularization.Methods A total of 349 elderly patients with acute anterior myocardial infarction who underwent emergency revascularization from January 2017 to December 2018 were retrospectively analyzed.They were divided into control group(178 cases)and observation group(171 cases).The control group received routine treatment according to the guidelines for acute ST segment elevation myocardial infarction,while the observation group received routine treatment and adjusted treatment under the guidance of lung ultrasound.Results The average hospital day in cardiac care unit(CCU)and the frequency of symptomatic heart failure attack in the observation group were significantly lower than those in the control group(P<0.05).The dosage of diuretics in the observation group was less than that in the control group(P<0.05);The creatinine level in the observation group was lower than that in the control group(P<0.05).Conclusions Lung ultrasound can optimize the early management of acute anterior myocardial infarction in the elderly,and reduce the attack of symptomatic heart failure.It should be widely used in CCU.