CAJ | 학술논문

目的：分析急性 ST 段抬高心肌梗死(STEMI)患者急诊经皮冠状动脉介入术中(PCI)再灌注心律失常的临床特点。方法回顾性分析我院收治的经急诊 PCI 治疗的 STEMI 患者112例，分析再灌注心律失常的种类、再灌注心律失常与梗死相关动脉的关系以及与发病至冠脉再通时间之间的关系。结果 STEMI 急诊 PCI 中再灌注心律失常发生率为48.21%。前降支闭塞引起的再灌注心律失常以快速型心律失常为主，右冠状动脉及回旋支闭塞以缓慢型心律失常为主。梗死后6 h 内开通冠状动脉者再灌注心律失常发生率高于6 h 以上开通者(P <0.05)。结论再灌注心律失常是 STEMI 患者行急诊 PCI 的常见并发症，其类型与梗死相关动脉及冠脉再通时间有关。
목적：분석급성 ST 단태고심기경사(STEMI)환자급진경피관상동맥개입술중(PCI)재관주심률실상적림상특점。방법회고성분석아원수치적경급진 PCI 치료적 STEMI 환자112례，분석재관주심률실상적충류、재관주심률실상여경사상관동맥적관계이급여발병지관맥재통시간지간적관계。결과 STEMI 급진 PCI 중재관주심률실상발생솔위48.21%。전강지폐새인기적재관주심률실상이쾌속형심률실상위주，우관상동맥급회선지폐새이완만형심률실상위주。경사후6 h 내개통관상동맥자재관주심률실상발생솔고우6 h 이상개통자(P <0.05)。결론재관주심률실상시 STEMI 환자행급진 PCI 적상견병발증，기류형여경사상관동맥급관맥재통시간유관。
Objective To analyze the clinical characteristics of reperfusion arrhythmia in the ST segment elevation acute myocardi-al infarction (STEMI)undergoing emergency percutaneous coronary intervention (PCI).Methods A retrospective analysis of our hospital 1 12 cases of emergency PCI in patients,to analyze the relationship between the species,reperfusion arrhythmia and related ar-tery reperfusion arrhythmia and myocardial infarction and coronary recanalization time from onset to.Results STEMI emergency PCI of reperfusion arrhythmia incidence was 48.21%.Anterior descending artery infarction reperfusion arrhythmia in cardiac arrhyth-mia,right coronary artery and circumflex artery infarction with slow arrhythmia.Infarction within 6h after the opening of coronary ar-tery reperfusion arrhythmia incidence rate is above 6 h open(P <0.05).Conclusion Reperfusion arrhythmia is a common complica-tion of STEMI patients undergoing PCI,its related artery type and infarction and reperfusion time.