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成功治疗一名患有非ST段抬高型心肌梗死和多器官功能衰竭的老年体弱患者:克服重重困难。

SUCCESSFUL TREATMENT OF AN ELDERLY, FRAIL PATIENT WITH NON-ST ELEVATION MYOCARDIAL INFARCTION AND MULTI-ORGAN FAILURE: AGAINST THE ODDS.

作者信息

Pavlov Marin, Babić Zdravko, Trbušić Matias, Radeljić Vjekoslav, Delić Brkljačić Diana

机构信息

Department of Cardiology, Dubrava University Hospital, Zagreb.

Department of Cardiology, Sisters of Charity University Hospital Centre, Zagreb.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):18-22. doi: 10.20471/acc.2024.63.s1.3.

Abstract

Contemporary cardiology offers potent treatment options for acute coronary syndrome. Occasionally, the most challenging part of the patient care occurs after percutaneous coronary intervention (PCI). Complications such as acute renal failure requiring renal replacement therapy, need for mechanical ventilation, infections, septic syndrome requiring vasopressor therapy, and stroke may influence short- and long-term outcome of such patients. In this paper, we present a case of an elderly lady treated with left main PCI due to acute non-ST elevation myocardial infarction. The case was complicated with all above listed events, however, the outcome was favourable.

摘要

当代心脏病学为急性冠状动脉综合征提供了有效的治疗选择。偶尔,患者护理中最具挑战性的部分发生在经皮冠状动脉介入治疗(PCI)之后。诸如需要肾脏替代治疗的急性肾衰竭、机械通气需求、感染、需要血管升压药治疗的脓毒症综合征以及中风等并发症可能会影响此类患者的短期和长期预后。在本文中,我们介绍了一例因急性非ST段抬高型心肌梗死接受左主干PCI治疗的老年女性病例。该病例并发了上述所有事件,然而,结局是良好的。

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