急诊冠状动脉内支架植入术治疗老年患者急性心肌梗死的临床观察  

Emergency intracoronary stenting for senile patients with acute myocardial infarction

作　　者：李平[1] 陈兰秀[1] 

机构地区：[1]梅州市人民医院心内科,广东省梅州514031

出　　处：《中国基层医药》2006年第6期997-998,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察急诊冠状动脉内支架植入术治疗老年人急性心肌梗死(AMI)的安全性和有效性。方法对50例老年人AMI置入冠状动脉内支架的连续观察病例进行分析。结果50例老年AMI患者中,梗死相关血管(IRA)为左前降支26例,回旋支16例,右冠状动脉8例,共置入5种支架合计68个。术后残余狭窄程度由术前95%～100%降至术后10%～-5%(P<0.001),手术成功率100%。随访1～12个月,3例发生心功能不全,其余病例无心脏事件发生。结论老年人AMI急诊冠脉内支架治疗安全有效。Objective To evaluate the efficiency and safety of emergency intracoronary stenting for senile patients with acute myocardial infarction （AMI）. Methods Fifty senile patients undergone successful intracoronary stenting were analyzed. Resalts Among these patients,infact-related arteries（IRA） were LAD in 26 patients,LCX in 16 patients, RCA in 8, sixty-eight stents of 5 kinds were implanted. Residual stenosis decreased from 95 %-100 % to 10 % - 5 % （ P 〈 0. 001 ）, success rate of the procedure was 100 %. Three patients had cardiac failure and no cardiac accident was found in the other patients in a follow-up of 1 - 12 months. Conclusion Emergercy intracoronary stenting is an effective and safe therapeutic maneuver for the senile patients with AMI.

关 键 词：心肌梗塞 血管成形术 经腔 经皮冠状动脉 支架 老年人 

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