【摘要】 目的了解ST段抬高型心肌梗死(STEMI)患者急诊血运重建后的胸腔积液发生情况及原因。方法回顾性分析2017年1月至12月行急诊经皮冠状动脉介入治疗(PCI)术的STEMI患者的基础情况、罪犯血管、术后生化、脑钠肽(BNP)、超声心动图及胸腔积液发生情况,分析胸腔积液发生的相关危险因素。结果 113例患者行急诊血运重建,发生胸腔积液50例(44.2%),logistic回归分析表明,积液发生与BNP(OR=1.002,95%CI:1.000-1.004,P=0.040)、左心室舒张末内径(LVEDd)(OR=1.140,95%CI:1.037-1.253;P=0.006)以及高血压病史(OR=0.272;95%CI:0.096-0.773;P=0.015)相关。结论 STEMI患者血运重建后胸腔积液常见,与BNP水平、LVEDd及高血压病史相关。更多还原

【Abstract】 Objective To analyze incidence of pleural effusion and its causes in patients with ST-segment elevation myocardial infarction(STEMI)after emergency revascularization. Methods The essential data, criminal vascular, postoperative biochemistry, BNP,echocardiography and pleural effusion were analyzed retrospectively in patients with STEMI and underwent emergency revascularization from January 2017 to December 2017. The causes of pleural effusion were assessed. Results Of 113 STEMI patients underwent revascularization, 50 cases(44.2%)suffered from pleural effusion. Logistic regression analysis showed that pleural effusion was associated with BNP(OR=1.002; 95%CI 1.000-1.004; P=0.040), left ventricular end diastolic diameter(LVEDd)(OR=1.140; 95%CI, 1037-1.253; P=0.006) and history of hypertension(OR=0.272; 95% CI, 0.096-0.773; P=0.015). Conclusion Pleural effusion is common in STEMI patients after revascularization and related to BNP level, left ventricular end diastolic diameter and hypertension.更多还原