李伟,吴立荣,李屏,刘兴德,方颖,梁金峰,韦波,沈正,谢登海,杨柳,张雄飞,李安敏,陈云,伍宏令,熊国宝
LI Wei,WU Lirong,LI Ping,LIU Xingde,FANG Ying,LIANG Jinfeng,WEI Bo,SHEN Zheng,XIE Denghai,YANG Liu,ZHANG Xiongfei,LI Anmin,CHEN Yun,WU Hongling,XIONG Guobao

• 1:贵州医科大学附院心血管科

摘要(Abstract)：

目的:分析评价特殊器械在冠心病介入诊疗中的应用价值。方法:分析328例冠心病介入诊疗患者病例资料,记录包括抽吸导管、冠脉旋磨、血管内超声显像(IVUS)、冠脉血流储备测定(FFR)及主动脉内气囊反搏(IABP)等特殊器械在各类冠心病患者的使用情况,观察使用最多的特殊器械在主要冠脉血管病变使用情况及特殊器械使用中发生慢血流、心包填塞及死亡情况。结果:特殊器械中抽吸导管使用率最高(62.5%),其余依次为IVUS(15.0%)、FFR(14.3%)、冠脉旋磨(6.4%)及IABP(1.8%);在使用率最高的血栓抽吸导管应用中,前降支病变使用率最高(42.4%),其余依次为右冠脉部位占38.1%、回旋支病变占18.6%、左主干病变占1.0%;使用血栓抽吸导管患者中4例发生慢血流情况,占特殊器械使用的(1.2%);冠脉旋磨中有1例发生心包填塞,占特殊器械使用的(0.3%)。结论:在冠心病诊疗中有选择的开展特殊器械的应用可提高冠心病介入诊疗水平。
Objective: To analyze and evaluate special medical apparatus and instruments involved in the diagnosis and treatment in patients with coronary heart disease. Methods: A total of 328 cases of coronary heart disease( CHD) with interventional treatment were analyzed retrospectively and the use of special medical apparatus and instruments was observed and recorded,including suction catheter,coronary rotational atherectomy,IVUS,FFR and IABP. Most used special medical apparatus and instruments in coronary artery disease were recorded and the occurrence of slow blood flow,pericardial tamponade and death were observed in the use of special medical apparatus and instruments. Results:In 328 cases of application of special medical apparatus and instruments,the usage rate of thrombus suction catheter was the highest,accounting for 62. 5%,followed by IVUS( 15. 0%),FFR( 14.3%),coronary rotational atherectomy( 6. 4%),IABP( 1. 8%). In the application of most used thrombus suction catheter,the usage rate in anterior descending artery lesions was the highest( 42.4%),followed by in right coronary artery( 38. 1%),in left circumflex coronary artery disease( 18.6%) and in left main lesion( 1. 0%). There were 4 cases of slow blood flow in the use of thrombus suction catheter,accounting for 1. 2% of use of specia lmedical apparatus and instruments. There was1 case of pericardial tamponade in the use of coronary atherectomy,accounting for 0. 3% of use of special medical apparatus and instruments. Conclusion: In the diagnosis and treatment of coronary heart disease,selective application of special medical apparatus and instruments can improve the level of coronary interventional diagnosis and treatment.

关键词(KeyWords)： 冠心病;血栓抽吸导管;冠脉旋磨术;血管内超声显像;冠脉血流储备测定;主动脉内气囊反搏
coronary heart disease;thrombus suction catheter;coronary rotational atherectomy;intravascular ultrasound imaging;coronary flow reserve detection;intraaortic balloon counterpulsation

Abstract:

Keywords:

基金项目(Foundation): 贵医附院临床科研基金(I-2012-44)

作者(Author): 李伟,吴立荣,李屏,刘兴德,方颖,梁金峰,韦波,沈正,谢登海,杨柳,张雄飞,李安敏,陈云,伍宏令,熊国宝
LI Wei,WU Lirong,LI Ping,LIU Xingde,FANG Ying,LIANG Jinfeng,WEI Bo,SHEN Zheng,XIE Denghai,YANG Liu,ZHANG Xiongfei,LI Anmin,CHEN Yun,WU Hongling,XIONG Guobao

DOI: 10.19367/j.cnki.1000-2707.2015.07.021

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