【摘要】 目的:探讨快速扩容对急性下壁心肌梗死血管再通后低血压的疗效。方法:对我院急性下壁心肌梗死行急诊介入治疗的患者82例,分为治疗组41例,对照组41例,治疗组予以输液泵30分钟内泵入0.9%盐水1000ml,对照组予以常规输液速度维持液路。所有患者均送入导管室行急诊冠脉介入治疗,观察血管再通后患者血压变化。结果:对照组发生低血压21例,治疗组发生低血压9例。治疗后,治疗组患者在即刻、30秒、60秒、2分钟、3分钟的血压均显著低于对照组,差异有显著性(P<0.05)。结论:术前快速补液扩容对急性下壁心肌梗死血管再通后所致低血压是安全有效的,不增加心力衰竭(心衰)发生率,减少阿托品、多巴胺用药次数,为急性下壁心肌梗死急诊介入治疗提供新的抢救手段。更多还原

【Abstract】 Objective:To investigate the effect of rapid dilatation on hypotension after acute recanalization of inferior myocardial infarction.Methods;82 patients with acute inferior wall myocardial infarction underwent emergency percutaneous coronary intervention were divided into treatment group(41 cases) and control group(41 cases).In the treatment group,0.9%saline(1000ml) was infused within 30 minutes.Infusion speed to maintain the liquid.All patients were admitted to the catheter room for emergency coronary intervention,to observe the changes in blood pressure after revascularization.Results:21 cases of hypotension occurred in the control group,9 cases of hypotension occurred in the treatment group.After treatment,the blood pressure of the patients in the treatment group was significantly lower than that of the control group at the instant,30 seconds,60 seconds,2 minutes and 3 minutes,the difference was significant(P < 0.05).Conclusion:The effect of preoperative rapid rehydration infusion is safe and effective in the treatment of acute inferior wall myocardial infarction.It is safe and effective to reduce the incidence of heart failure,reduce the number of atropine and dopamine,and provide the emergency interventional treatment for acute inferior wall myocardial infarction.New rescue measures.更多还原