冠状动脉介入治疗老年冠心病的临床研究  

Clinical Study of Percutaneous Coronary Intervention in Elderly Patients with Coronary Artery Disease

作　　者：陈万强[1] 薛成相[1] 李鸣[1] 汤洪[1] 李永惠[1] 王菲[1] 王丽[1] 

机构地区：[1]解放军第3医院心内科,陕西宝鸡721004

出　　处：《临床军医杂志》2004年第4期35-36,共2页Clinical Journal of Medical Officers

摘　　要：目的　评价冠状动脉介入 (PCI)治疗老年冠心病患者的临床疗效及安全性。方法　老年冠心病患者 5 2例 ,男性 3 8例 ,女性 14例 ,平均年龄为 68.1± 4.5岁 ( 65～ 81)岁 ,其中不稳定性心绞痛 15例 ,急性心肌梗死 7例 ,陈旧性心肌梗死 13例 ,稳定性心绞痛 17例。结果　 5 2例老年冠心病患者中单支病变 9例、双支病变 19例、三支病变 2 4例。 5 8支血管接受介入治疗 ,共置入支架 75枚。其中置入前降支 43枚 ,回旋支 11枚 ,右冠状动脉 2 1枚 ,手术成功率 95 .9%。A型病变成功率 10 0 %,B型病变成功率 10 0 %,C型病变成功率 92 .6%。 2例失败患者均为C型病变 ,导丝或球囊不能通过病变处。对这些患者进行跟踪随访 ,其中 1例术后 1月猝死 ,其余患者均存活。Objective To evaluate the clinical efficacy and safety of Percutaneous Coronary Intervention in elderly patients with coronary artery disease.Methods 52 elderly patients with coronary artery disease were treated with technique of percutanous coronary angioplasty and intracoronary stent,which included 38 men and 14 wemen,aged 65～81 old years(average 68.1±4.5 old years),in which 15 patients with unstable angina pectoris,7 patients with acute myocardial infarction,13 patient with old myocardial infarction,17 patients with stable angina pectoris. Results There were 9 patients with single vessel coronary disease,19 patients with double-vessel coronary disease,24 patients with triple vessel coronary disease.A total of 75 stents were implanted in 58 lesion.43 stents were implanted in left anterior desending,11 stents in left circumflex,21 stents in right coronary artery,total procedural success rate was 95.9%,and success rate in type A and type B was 100%,type C 92.6%.All patients were followed up,1 patient sudden death 1 month after procedure,and the other survival.Conclusion Percutaneous Coronary Intervention is safe and feasible treatment for elderly patients with coronary artery disease.

关 键 词：冠心病 冠状动脉 介入治疗 支架 

分 类 号：R541.4[医药卫生—心血管疾病]