急性心肌梗死择期冠脉介入治疗结果分析  

Effect of Delayed Coronary Artery Intervention on Acute Myocardial Infarction

作　　者：杨波[1] 苗云江[1] 王秀芝[1] 计晓玲[1] 王东方[1] 满荣海[1] 

机构地区：[1]赤峰市医院心内科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2004年第12期995-997,共3页Inner Mongolia Medical Journal

摘　　要：目的 :探讨延迟经皮冠状动脉介入治疗 (PCI)对急性ST段抬高性心肌梗死 (STEMI)的治疗价值。方法 :对完成PCI的 75例STEMI患者行手术成功率、并发症及部分患者随访 3个月～ 4年的近期和远期疗效观察。结果 :延迟PCI 75例术中及术后住院期间无死亡病例 ,手术成功率 96 2 %。TIMI血流≤Ⅱ级者 4 0例 ,经PCI恢复TIMIⅢ级血流者 82 5 % ,出现无再流现象者 10 % ,随访 3个月～ 4年间 ,因心脏相关死亡 2 9% ,再次出现心绞痛症状者 4 3% ,心功能不全症状无改善者 5 8%。结论 :延迟PCI手术成功率高 ,并发症少 。Objective:To evaluate the therapeutic value of delayed percutaneous coronary artery intervention(PCI) in ST-segment elevation myocardial infarction(STEMI).Methods:75 patients with STEMI were treated by delayed PCI.The success rate and complications of operation were evaluated.Part patients were followed up between 3 months and 4 years,the late and long-term curative effect was observed.Results:Of 75 patients treated by PCI,none died during and after the operation,40 with TIMI blood stream less than or equal to grade Ⅱ,82.5% with TIMI blood stream recovered to grade Ⅲ,10% no reperfusion.The success rate of operation was 96.2%.Followed-up betwee 3 months to 4 years,2.9% of patients died caused by heart disorder,4.3% had recurrent stenocardia,5.8% no improvement of cardiac insufficency.Conclusion:Delayed PCI is a good supplemental therapy for acute myocardial infarction(AMI),with higher success rate and less complications.

关 键 词：急性心肌梗死 经皮冠状动脉介入治疗 冠状动脉造影 

分 类 号：R542.22[医药卫生—心血管疾病] R814.47[医药卫生—内科学]