CAJ | 학술논문

目的：探讨方舱内微创介入诊治急性心肌梗死的临床疗效。方法选取接受方舱内微创介入诊治急性ST段抬高型心肌梗死(STEMI)患者2例，分析患者冠状动脉造影与PCI结果，观察患者不良反应，记录工作人员及患者的评价。结果2例患者均达到PCI手术指征且手术达到成功标准。2例患者无1例死亡，术中及术后未出现再灌注心律失常、血压降低及迷走神经反射等不良反应情况。工作人员及患者评价良好。结论方舱内微创介入诊治STEMI，及时可靠，可减少不良反应，值得推广。
목적：탐토방창내미창개입진치급성심기경사적림상료효。방법선취접수방창내미창개입진치급성ST단태고형심기경사(STEMI)환자2례，분석환자관상동맥조영여PCI결과，관찰환자불량반응，기록공작인원급환자적평개。결과2례환자균체도PCI수술지정차수술체도성공표준。2례환자무1례사망，술중급술후미출현재관주심률실상、혈압강저급미주신경반사등불량반응정황。공작인원급환자평개량호。결론방창내미창개입진치STEMI，급시가고，가감소불량반응，치득추엄。
Objective To investigate the clinical efifcacy of minimally invasive in fang cabin in diagnosis and treatment of acute myocardial infarction.Methods 2 cases with Acute ST-segment elevation myocardial infarction (STEMI) who accepted minimally invasive in fang cabin were selected from Guizhou Power workers hospital during the period from January 2014 to 2014 March, to analysis of the results of coronary angiography and PCI, adverse reaction were observed,evaluation records of staff and the patients.Results 2 patients achieved PCI operation indications and operation to achieve success criteria. Two cases of patients with no one died, there were no intraoperative and postoperative complications of reperfusion arrhythmia, decreased blood pressure and vagal relfex and other adverse reactions. Staff and patient evaluation is good.Conclusion Shelter minimally invasive interventional diagnosis and treatment of STEMI, timely and reliable, which can reduce the adverse reaction, is worth promoting.