急诊经皮冠状动脉介入治疗术中再灌注心律失常的分析与临床急救分析

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1、急诊经皮冠状动脉介入治疗术中再灌注心律失常的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

2、.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:Toexplorepercutane

3、ouscoronaryinterventioninthesurgicaltreatmentofacutemyocardialinfarction(AMI)andreperfusionarrhythmiasinthesituationandanalyzetheclinicalemergencystatus，inordertoprovideguidanceforthetreatmentofdiseasesrehabilitation.Method:Atotalof213caseswithemergencype

4、rcutaneouscoronaryintervention，whoadmittedinourhospitalfromJanuary2013toDecember2015，wereselectedastheresearchobjects.Theyweregivenemergencypercutaneouscoronaryinterventionalsurgery.90casesofpatientswithreperfusionarrhythmiaandthereperfusionarrhythmiawere

5、exploredandgivenpredictabilityofemergencycare.Result：Intraoperativereperfusionarrhythmiasinpatientswithacutemyocardialinfarction，including10casesofarrhythmia，accountedfor11.1%,14casesofsinusbradycardia,accountedfor15.6%,8casesofsinusarrest,accountedfor8.9

6、%，12casesofatrioventricularblock，accountedfor13.3%,20casesofventricularprematurebeat，accountedfor22.2%,17casesofventriculartachycardia,accountedfor18.9%,9casesofventricularfibrillation,accountedfor10.0%.Conclusion:Relatedmedicalstaffshouldbewellpreparedbe

7、foresurgery,detailsaboutthesituationofthedisease，intraoperativemonitoring，oncefoundabnormalshouldbehandledintime，whichcaneffectivelyreducetheharmofreperfusionarrhythmia，soastoimprovetheemergencypercutaneouscoronaryinterventionoperationsuccess【Keywords】Eme

8、rgency；Percutaneouscoronaryintervention；Reperfusionarrhythmia；ClinicalfirstaidanalysisFirst-author'saddress：ThePeople'sHospitalofYingdeCity,Yingde513000，Chinadoi：10.3969/j.issn.l674-4985.2016.21.043急性心肌梗死（AMI）发病急、病情