CAJ | 학술논문

目的总结经皮冠状动脉介入治疗(PCI)患者术后并发延迟心脏压塞的临床特点.方法回顾性分析1999年8月至2011年5月收治的2例老年PCI术后出现延迟心脏压塞患者相关资料.结果 2例PCI术后出现延迟性心脏压塞的患者均为老年女性,提示老年女性多支血管复杂病变患者是PCI术后迟发心脏压塞的重点监测对象,术后6h内出现无法解释的低血压者应及时做床旁心脏超声检查,以排查和鉴定是否存在迟发心脏压塞.2例患者经心包穿刺引流和采取相应措施治疗后痊愈出院.结论老年女性多支血管复杂病变患者是PCI术后迟发心脏压塞的易患者,应注意其术后的早期临床特征,并进行相应的评估.
목적 총결경피관상동맥개입치료(PCI)환자술후병발연지심장압새적림상특점.방법 회고성 분석1999년8월지2011년5월수치적2례노년PCI술후출현연지심장압새환자상관자료.결과 2례PCI술후출현연지성심장압새적환자균위노년녀성,제시노년녀성다지혈관복잡병변환자시PCI술후지발심장압새적중점감측대상,술후6h내출현무법해석적저혈압자응급시주상방심장초성검사,이배사화감정시부존재지발심장압새.2례환자경심포천자인류화채취상응조시치료후전유출원.결론 노년녀성다지혈관복잡병변환자시PCI술후지발심장압새적역환자,응주의기술후적조기림상특정,병진행상응적평고.
Objective To summarize clinical characteristics of female patients with delayed cardiac tamponade after percutaneous coronary intervention (PCI).Methods Materiais on clinical characteristics of 1009 elderly patients who might have delayed cardiac tamponade after PCI from Aug 1999 to May 2011 was analyzed retrospectively.Results Two patients who had delayed cardiac tamponade after PCI were female,suggesting that elderly female patients with multi-vessel coronary disease and complex coronary lesions should be monitored closely after PCI.Bedside ultrasound should be performed promptly within 6 hours after operation for unexplained low pressure in case of delayed cardiac tamponade.Two patients were recovered and discharged after pericardiocentesis and appropriate treatment.Conclusions Elderly female patients with multi-vessel coronary disease and complex coronary lesions tend to have delayed cardiac tamponade after PCI easily,whose early clinical characteristics should be noted and evaluated.