CAJ | 학술논문

目的观察急性心肌梗死(AMI)急诊接受经皮冠状动脉介入治疗(PCI)患者在主动脉球囊支持下预后影响因素及护理对策.方法回顾分析27例经绿色通道行急诊PCI治疗AMI后,应用主动脉球囊反搏患者临床一般资料、临床特征及介入治疗情况.结果 27例患者康复12例,反复心衰发作4例,院内死亡11例.存活组和死亡组年龄、性别、高血压、糖尿病吸烟史.梗死部位、左室射血分数比较差异无统计学意义,Killip 1～2级、PCI术后无血流比较差异有统计学意义(P<0.05).结论 Killip 1～2级、PCI术后无血流是影响患者预后的相关因素.
목적 관찰급성심기경사(AMI)급진접수경피관상동맥개입치료(PCI)환자재주동맥구낭지지하예후영향인소급호리대책.방법 회고분석27례경록색통도행급진PCI치료AMI후,응용주동맥구낭반박환자림상일반자료、림상특정급개입치료정황.결과 27례환자강복12례,반복심쇠발작4례,원내사망11례.존활조화사망조년령、성별、고혈압、당뇨병흡연사.경사부위、좌실사혈분수비교차이무통계학의의,Killip 1～2급、PCI술후무혈류비교차이유통계학의의(P<0.05).결론 Killip 1～2급、PCI술후무혈류시영향환자예후적상관인소.
Objective To investigate the effect of prognostic factors and nursing care in of acute myocardial infarction(AMI)patients performed emergency percutaneous coronary intervention supported by IABP.Methods Twenty seven AMI patients treated with emergency PCI,supporting by intra-aortic balloon pump(IABP).We analyzed retrospectively elinical characters and situation of interventional treatment of the patients.Results Among 27 cases.there were 12 cases who were recovered,4 suffered congestive heart failure repeatedly.and ll died during the hospitalization.There was no difference in age,sex,the history of hypertension,diabetes and smoking,the site of infarction and ejection fraction of left ventficular.The prognosis was different in the patients with grade of Killip in cardiac function and no flow post PCI(P<0.05).Conclusions The grade of Killip and no flow post PCI were the effective factors for prognosis in Acute Myocardial patients with emergency PCI.