术中急性心包填塞成功抢救两例病例分析

PCI术中急性心包填塞成功抢救两例 北京武警总医院心脏内科 马东星 Department of Cardiology Dong-xing MA 2007.10.15 Female, 66 years oldFemale, 66 years old Compliant: Chest pain for 6 monthsCompliant: Chest pain for 6 months Hypertension for 4 years and Diabetes Mellitus for 3 yearsHypertension for 4 years and Diabetes Mellitus for 3 years Physical examination：HR 72 beat/minHR 72 beat/min，BP 155/90 mmHgBP 155/90 mmHg ECG: IIIECG: III、AVFAVF、V1-V3 lead T wave inversion V1-V3 lead T wave inversion GlyGly 2.44 2.44 mmolmmol/L, /L, Cholesterol 5.94 mmolmmol/L /L Diagnosis: Coronary Artery Disease Diagnosis: Coronary Artery Disease Unstable Unstable Angina Pectoris Hypertension I Class Hyperlipemia Case 1-History Case 1 Angiography Case 1 Angiography 6F XB RCA6F XB RCA GC BMW Wire Ryujin 3.0X15mm Balloon TITAN2 4.0X22mm Stent KONGOU 4.0X15mm Balloon Case 1Invention equipmentInvention equipment Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 1 Procedure (RCA PCI)Procedure (RCA PCI) Case 2-History Female, 70 years oldFemale, 70 years old Compliant: Compliant: CardiopalmusCardiopalmus and and Chest pain for 1 yearChest pain for 1 year Hypertension for 1 year (200/80 mmHg) Hypertension for 1 year (200/80 mmHg) Physical examination：HR 88 beat/minHR 88 beat/min，BP 140/70 mmHgBP 140/70 mmHg ECG: IECG: I、V4-V6 ST segment depression 0.1 V4-V6 ST segment depression 0.1 mvmv GlyGly 15.66 15.66 mmolmmol/L, /L, Cholesterol 8.15 mmolmmol/L, LDL 6.18 /L, LDL 6.18 mmolmmol/L,/L, HDL 0.85 HDL 0.85 mmolmmol/L/L Diagnosis: Coronary Artery Disease Diagnosis: Coronary Artery Disease Unstable Unstable Angina Pectoris Hypertension III Class Hyperlipemia Case 2 Angiography Case 2 Angiography XB LAD 3.5XB LAD 3.5 GC PT2 LS Wire BMW Wire ENDEAVOR3.0*24mm Stent ENDEAVOR3.5*24mm Stent Case 2Invention equipmentInvention equipment Case 2 Procedure (LAD PCI) Procedure (LAD PCI) Case 2 Procedure (LAD PCI) Procedure (LAD PCI) Case 2 Procedure (LAD PCI) Procedure (LAD PCI) Case 2 Procedure (LAD PCI) Procedure (LAD PCI) Case 2 Procedure (LAD PCI) Procedure (LAD PCI)