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目的观察右冠闭塞急诊介入后低血压的诊疗体会。方法选择2006—2009年首次因急性心肌梗死收住胜利油田中心医院心内科患者210例,均行急诊介入治疗,回顾分析其中27例单纯右冠闭塞的临床资料,包括急诊介入治疗、术后低血压的诊疗体会。结果 27例中18例出现低血压(66.67%),均为右冠近段、中段闭塞者,低血压者均在24h纠正,27例患者治愈出院,抢救成功率100%。结论右室梗死急诊介入术后,低血压的发生与其特殊的病理生理机制有关,积极补充血容量及血管活性药物的正确使用,可降低死亡率,提高生活质量。
Objective To observe the diagnosis and treatment of hypotension after emergency treatment of right coronary artery occlusion. Methods A total of 210 patients admitted to Shengli Oilfield Central Hospital from 2006 to 2009 for the first time with acute myocardial infarction were enrolled in the emergency department. The clinical data of 27 cases of right coronary artery occlusion were retrospectively analyzed, including emergency intervention and postoperative low Blood pressure diagnosis and treatment experience. Results Twenty-seven of the 27 patients had hypotension (66.67%). All of them were right proximal coronary artery and middle occlusion. Hypotension was corrected in 24h and 27 patients were cured. The success rate of rescue was 100%. Conclusions After the interventional treatment of right ventricular infarction, hypotension is related to its special pathophysiological mechanism. Positive supplement of blood volume and vasoactive drugs can reduce the mortality and improve the quality of life.