急诊经皮冠状动脉介入治疗术中再灌注心律失常分析与临床急救分析.docVIP

急诊经皮冠状动脉介入治疗术中再灌注心律失常分析与临床急救分析 　　【摘要】 目的：探究经皮冠状动脉介入手术治疗急性心肌梗死术中发生再灌注心律失常的情况，并对其临床急救情况进行分析，希望为疾病的治疗康复提供指导。方法：回顾性选取2013年1月-2015年12月本院收治的急诊经皮冠状动脉介入治疗患者共213例，对患者行急诊经皮冠状动脉介入手术，发现有90例患者出现再灌注心律失常，探究这90例患者再灌注心律失常的情况，从而预见性地进行急救护理。结果：急性心肌梗死患者术中再灌注心律失常包括有交界性心律失常10例，占11.1%，窦性心动过缓14例，占15.6%，窦性停搏8例，占8.9%，房室传导阻滞12例，占13.3%，室性早搏20例，占22.2%，室性心动过速17例，占18.9%，心室颤动9例，占10.0%。结论：相关医护人员应在术前做好充分准备，详细了解疾病的情况，术中严密监控，一旦发现异常应及时进行处理，能够有效降低再灌注心律失常的危害，从而提高急诊经皮冠状动脉介入手术的成功率。 　　【关键词】 急诊； 经皮冠状动脉介入； 再灌注心律失常； 临床急救分析 　　【Abstract】 Objective：To explore percutaneous coronary intervention in the surgical treatment of acute myocardial infarction （AMI） and reperfusion arrhythmias in the situation and analyze the clinical emergency status，in order to provide guidance for the treatment of diseases rehabilitation.Method：A total of 213 cases with emergency percutaneous coronary intervention，who admitted in our hospital from January 2013 to December 2015，were selected as the research objects.They were given emergency percutaneous coronary interventional surgery. 　　90 cases of patients with reperfusion arrhythmia and the reperfusion arrhythmia were explored and given predictability of emergency care.Result：Intraoperative reperfusion arrhythmias in patients with acute myocardial infarction，including 10 cases of arrhythmia，accounted for 11.1%，14 cases of sinus bradycardia，accounted for 15.6%，8 cases of sinus arrest，accounted for 8.9%，12 cases of atrioventricular block，accounted for 13.3%，20 cases of ventricular premature beat，accounted for 22.2%，17 cases of ventricular tachycardia，accounted for 18.9%，9 cases of ventricular fibrillation，accounted for 10.0%.Conclusion：Related medical staff should be well prepared before surgery，details about the situation of the disease，intraoperative monitoring，once found abnormal should be handled in time，which can effectively reduce the harm of reperfusion arrhythmia，so as to improve the emergency percutaneous coronary intervention operation success rate. 　　【Key words】 Emergency