CAJ | 학술논문

急性心肌梗死病死率高，尽早及时行主动脉内球囊反搏（IABP）支持可明显降低病死率。传统经股动脉8F IABP 置入技术成熟，但易出现出血、血肿等并发症。当遇外周血管疾病、血管严重弯曲、急危重患者不能平卧时，IABP 置入禁忌或失败，可考虑经肱动脉途径行 IABP 支持。本文报道2例急性心肌梗死伴下肢动脉慢性闭塞/严重心力衰竭患者，不能平卧，采取经肱动脉途径行 IABP 植入术，效果好，没有明显并发症，表明经肱动脉途径行 IABP植入术可行、安全有效，值得临床进一步研究、观察。
급성심기경사병사솔고，진조급시행주동맥내구낭반박（IABP）지지가명현강저병사솔。전통경고동맥8F IABP 치입기술성숙，단역출현출혈、혈종등병발증。당우외주혈관질병、혈관엄중만곡、급위중환자불능평와시，IABP 치입금기혹실패，가고필경굉동맥도경행 IABP 지지。본문보도2례급성심기경사반하지동맥만성폐새/엄중심력쇠갈환자，불능평와，채취경굉동맥도경행 IABP 식입술，효과호，몰유명현병발증，표명경굉동맥도경행 IABP식입술가행、안전유효，치득림상진일보연구、관찰。
Acute myocardial infarction mortality is high,and IABP support in time can obviously reduce death rate. Traditional implantation technology of 8F IABP is mature,but with complications such as bleeding,hematoma and so on. When treating patients with peripheral vascular disease,blood vessels bending severely or critical patients who cannot lie down,IABP implantation becomes operative contraindication or fails,we can consider performing IABP support via transbrachial. In this pa-per we report 2 cases of patients who suffer acute myocardial infarction accompanying chronic arterial occlusive disease and(or) severe heart failure and can not lie down. We treat them with IABP support via Brachial Artery with good effect and no obvious complications,showing that transbrachial IABP implantation is feasible,safe and effective,worth further research and clinical observation.