Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease》 2017-10
Add to Favorite Get Latest Update

Application Effect of Extracorporeal Membrane Oxygenation Combined with Emergency PCI on Cardiac Arrest Caused by Acute Myocardial Infarction

YANG Li-na;XIAO Yan;SUN Qin;Department of Emergency,Taihe Hospital of Shiyan;  
Objective To analyze the application effect of extracorporeal membrane oxygenation( ECMO) combined with emergency PCI on cardiac arrest caused by acute myocardial infarction( AMI). Methods A total of 58 cardiac arrest patients caused by AMI were selected in Taihe Hospital of Shiyan from April 2014 to April 2017,and they were divided into A group( n = 22) and B group( n = 36) according to the family members' will. Patients of the two groups received conventional cardio-pulmonary resuscitation( CCRP) for 10 minutes,then patients of A group received ECMO,while patients of B group received continuous CCRP; after restoration of spontaneous circulation,patients of the two groups received emergency PCI. Types of cardiac arrest,sites for CCRP,restoration status of spontaneous circulation,first medical contact( FMC) time,diseased regions,proportion of patients with multi-vessel lesions, usage of intra-aortic ballon pump( IABP), stent implantation condition,usage of tirofiban,success rate of PCI,survival rate after 1-month follow-up,GCS score after 1 day and 3 days of PCI,and Glasgow-Pittsburgh Brain Function Classification( CPC) after 1 month of PCI were compared between the two groups. Results No statistically significant differences of types of cardiac arrest or sites for CCRP was found between the two groups( P 0. 05); restoration rate of spontaneous circulation of A group was statistically significantly higher than that of B group( P 0. 05). No statistically significant differences of FMC time,diseased regions,proportion of patients with multi-vessel lesions,stent implantation rate,utilization rate of tirofiban or success rate of PCI was found between the two groups( P 0. 05),while utilization rate of IABP of A group was statistically significantly lower than that of B group( P 0. 05). Kaplan-Meier survival curve showed that,survival rate of A group was statistically significantly higher than that of B group after 1-month follow-up( P 0. 05). GCS score of A group was statistically significantly higher than that of B group after 1 day and 3 days of PCI,respectively,meanwhile CPC of A group was statistically significantly better than that of B group after 1 month of PCI( P 0. 05). Conclusion ECMO combined with emergency PCI has good application effect in treating cardiac arrest caused by AMI,can effectively improve the success rate of cardio-pulmonary resuscitation,survival rate and neurological function,promote the recovery of brain function.
【Fund】: 湖北省自然科学基金资助项目(2016CDB07802)
【CateGory Index】: R541.7;R542.22
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved