【摘要】 目的观察急诊经皮冠状动脉介入治疗(PCI)中局部应用肝素对慢血液及无复流的预防效果。方法急诊PCI患者56例分为两组:治疗组32例,在造影剂中加入肝素;对照组24例,造影剂中不加肝素。观察术中出现慢血流及无复流现象。结果 56例均开通梗死相关血管。治疗组32例均有复流;对照组有1例无复流。治疗组慢血流发生率6.3%(2/32),明显低于对照组的33.3%(7/24)(P<0.05)。结论在造影剂中加入肝素能明显减少急诊PCI治疗中慢血流现象。更多还原

【Abstract】 Objective To observe the preventive effects of local heparin strengthening on slow-reflow or non-reflow phenomenon during the percutaneous coronary intervention(PCI) in the patients with acute myocardial in infarction(AMI).Methods Fifty-six AMI patients undergoing PCI were divided into two groups of A(32 cases,adding heparin into the contrast solution) and B(24 cases,without heparin in the contrast solution).The occurrence of slow-reflow or non-reflow phenomenon during PCI was observed and compared between two groups.Results The infarction-related vessels were opened in all 56 cases of two groups.The reflow was seen in all 32 cases of group A and non-reflow was found in one of 24 cases in group B.The occurrence rate of slow-reflow phenomenon was lower in group A than that in group B(6.3% vs.33.3%)(P<0.05).Conclusion The occurrence of slow-reflow phenomenon can be reduced significantly by adding heparin into the contrast solution during PCI in the patients with acute AMI.更多还原