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Effects of emergent percutaneous coronary intervention on the prognosis of patients with cardiac arrest and cardiopulmonary resuscitation after acute myocardial infarction
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF EMERGENCY MEDICINE
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1671-0282.2006.10.002
- Key Word:
- 急性心肌梗死;心肺复苏;心脏骤停;经皮冠状动脉介入治疗
Abstract： 目的 探讨紧急介入治疗能否改善急性心肌梗死心肺复苏后患者的预后.方法 回顾性分析院前及急诊室发生心脏骤停的急性心肌梗死患者32例,分为在心肺复苏后同时进行紧急介入治疗组(n=12)和保守治疗组(n=20),比较两组的住院期间病死率、严重心律失常、心力衰竭、心原性休克和严重出血的发生率.结果 介入组住院期间死亡2例(17%),保守组死亡14例(70%),P＜0.01;心肺复苏后发生心力衰竭者两组分别为3例(25%)和16例(80%),P＜0.01;两组的严重心律失常、心原性休克和严重出血发生率差异无统计学意义(P＞0.05);Logistic回归分析表明,急诊介入治疗能显著降低病死率,而心肺复苏时间＞20 min,将增加病死率.结论 早期紧急介入治疗能显著改善急性心肌梗死心肺复苏患者的预后.
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