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目的探讨急性心肌梗死(AMI)心肺复苏(CPR)后急诊经皮冠状动脉介入(PCI)的疗效。方法182例接受急诊PCI的AMI患者,9例有CPR史,对CPR的发生时间、CPR所需时间、冠状动脉造影结果、支架指标、CPR并发症进行回顾性分析。结果CPR所需时间2～13(5.4±3.0)min。梗死相关血管左前降支近段闭塞6例,右冠状动脉近段闭塞3例,均无侧支循环。每支梗死相关冠状动脉置入支架1枚,前向血流TIMI3级。脑复苏不全1例,应激性溃疡1例。结论急诊PCI治疗CPR后AMI是一种安全有效的方法。
Objective To investigate the efficacy of emergency percutaneous coronary intervention (PCI) after acute myocardial infarction (AMI) cardiopulmonary resuscitation (CPR). Methods A total of 182 AMI patients undergoing PCI were enrolled in this study. Nine patients had history of CPR. The incidence of CPR, time required for CPR, coronary angiography, stent and CPR were retrospectively analyzed. Results The time required for CPR ranged from 2 to 13 (5.4 ± 3.0) min. There were 6 collateral occlusion in the left anterior descending artery of infarction-related artery and 3 occlusion of the right coronary artery in the proximal segment. No collateral circulation was found. Each infarction-related coronary artery stent 1, TIMI3 level of forward blood flow. 1 cases of incomplete brain recovery, stress ulcer in 1 case. Conclusions AMI is a safe and effective method after emergency PCI for CPR.