《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 589-591.

• 论文 • 上一篇    下一篇

体外膜肺氧合对急性冠状动脉左主干病变的临床疗效分析

李南，韩静，冯斯婷，周玉杰   

  1. 1.首都医科大学附属北京安贞医院，a. 抢救中心；b. 十二病房，北京市100029。
  • 收稿日期:2013-03-04 修回日期:2013-05-10 出版日期:2013-06-25 发布日期:2013-06-25

Effect of Extracorporeal Membrane Oxygenation on Clinical Outcome of Patients with Acute Left Main Coronary Artery Disease

LI Nan, HAN Jing, FENG Si-ting, et al.   

  1. Emergency Center for Cardiac and Pulmonary Vascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
  • Received:2013-03-04 Revised:2013-05-10 Published:2013-06-25 Online:2013-06-25

PDF (PC)

摘要： 目的探讨体外膜肺氧合治疗和/或主动脉内球囊反搏对急性冠状动脉左主干病变的临床疗效。方法回顾性分析3例急性冠状动脉左主干病变患者，及时行体外膜肺氧合治疗和/或主动脉内球囊反搏治疗的临床资料。结果3 例患者均完成冠脉造影检查，并行血运重建术(1 例行经皮冠状动脉血管成形术及支架术，1 例行冠状动脉成形术并冠状动脉旁路移植术，1 例行冠状动脉旁路移植术)。2 例患者症状得到明显改善，救治成功，顺利出院。术后随访6~24 个月，均无胸部不适症状，可耐受正常活动。另1 例死亡。结论体外膜肺氧合治疗和/或主动脉内球囊反搏在治疗冠状动脉左主干病变中发挥重大作用。

关键词: 体外膜肺氧合, 主动脉内球囊反搏, 冠状动脉左主干病变, 冠状动脉血运重建

Abstract: Objective To evaluate the effect of extracorporeal membrane oxygenation (ECMO) combined with intraaortic balloon counterpulsation (IABP) on patients with acute left main coronary artery disease. Methods 3 patients suffered from acute left main coronary artery disease and timely supported by ECMO combined with or without IABP were reviewed. Results With the assistance of ECMO and/or IABP, all of the 3 patients had successfully undergone coronary angiography and coronary revascularization. The first case was performed percutaneous transluminal coronary angioplasty (PTCA) with stents placement; the second was performed coronary artery bypass grafting (CABG); the third case was performed PTCA and CABG. All patients were weaned off ECMO. 2 patients were discharged, whereas the other one died 1 month after CABG. After 6~24 months follow-up, 2 survivors had good quality of life. Conclusion Efficient ECMO support with or without IABP might offer opportunities for the following revascularization on patients with acute left main coronary artery disease.

Key words: extracorporeal membrane oxygenation, intraaortic balloon counterpulsation, acute left main coronary artery disease, coronary revascularization