PCI术中急性心包填塞成功抢救两例病例分析精选文档.ppt

Female,66 years oldCompliant:Chest pain for 6 monthsHypertension for 4 years and Diabetes Mellitus for 3 yearsPhysical examination：HR 72 beat/min，BP 155/90 mmHgECG:III、AVF、V1-V3 lead T wave inversion Gly 2.44 mmol/L,Cholesterol 5.94 mmol/L Diagnosis:Coronary Artery Disease Unstable Angina Pectoris Hypertension I Class Hyperlipemia,Case 1-History,Case 1 Angiography,Case 1 Angiography,6F XB RCA GCBMW WireRyujin 3.0X15mm Balloon TITAN2 4.0X22mm Stent KONGOU 4.0X15mm Balloon,Case 1Invention equipment,Case 1 Procedure(RCA PCI),Case 1 Procedure(RCA PCI),Case 1 Procedure(RCA PCI),Case 1 Procedure(RCA PCI),Case 1 Procedure(RCA PCI),Case 1 Procedure(RCA PCI),Case 2-History,Female,70 years oldCompliant:Cardiopalmus and Chest pain for 1 yearHypertension for 1 year(200/80 mmHg)Physical examination：HR 88 beat/min，BP 140/70 mmHgECG:I、V4-V6 ST segment depression 0.1 mv Gly 15.66 mmol/L,Cholesterol 8.15 mmol/L,LDL 6.18 mmol/L,HDL 0.85 mmol/LDiagnosis:Coronary Artery Disease Unstable Angina Pectoris Hypertension III Class Hyperlipemia,Case 2 Angiography,Case 2 Angiography,XB LAD 3.5 GC PT2 LS Wire BMW Wire ENDEAVOR3.0*24mm StentENDEAVOR3.5*24mm Stent,Case 2Invention equipment,Case 2 Procedure(LAD PCI),Case 2 Procedure(LAD PCI),Case 2 Procedure(LAD PCI),Case 2 Procedure(LAD PCI),Case 2 Procedure(LAD PCI),Lesson!,1.Stent choose and Balloon expansion2.Treatment for Pericardial tamponade:Time Calm and steady,Thanks!,