26例急性心肌梗死患者急诊介入治疗的疗效  

Clinical effect of PCI on acute myocardial infarction in 24 cases

作　　者：沙勇[1] 白如冰[1] 贾绍斌[1] 宋晓丽 张金莉[1] 汤蓉[1] 白向荣[1] 

机构地区：[1]宁夏医学院附属医院心内科,宁夏银川市750004 [2]山西大同市第二人民医院血液净化中心

出　　处：《心血管康复医学杂志》2005年第1期38-40,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察急性心肌梗死介入治疗的临床效果。方法:对12 h内发病的26例急性心肌梗死患者行急诊经皮冠脉介入术(PCI)。结果:26例中梗死相关血管28支,其中前降支12支(42.86％),回旋支6支(21.43％),右冠状动脉6支(21.43％),第一对角支2支(7.1％),第二对角支2支(7.1％)。共植入支架32枚,23例成功(88.46％)。住院期间并发心源性休克5例,其中1例死亡。结论:急性心肌梗死时行急诊PCI成功率高,并发症少。Objective: To evaluate the clinical effect of percutaneous coronary interventions (PCI) for acute myocardial infarction (AMI). Methods: Twenty-six patients were performed PCI in 12 hours after onset. Results: Infarct-related arteries were 28 branchs, in which left anterior descending arteries were 12 branchs (42.86%). left circumfles 6 branchs(21. 43%) and right arteries 6(21- 43%);32 stents were implanted,in which 23 cases(88. 46%) were successfully implanted. Five patients occurred cardiogenic shock, in which 1 patient died. Conclusion: Acute PCI in acute myocardial infarction has high successful rate and less complication.

关 键 词：急性心肌梗死 患者 急诊 介入治疗 并发症 疗效 经皮冠脉介入术 右冠状动脉 住院期间 梗死相关血管 

分 类 号：R542.22[医药卫生—心血管疾病] R654.2[医药卫生—内科学]