冠状动脉介入诊治冠心病31例临床分析  

Analysis of 31 cases coronary intervention

作　　者：严卫国[1] 余梅玫[1] 伍万仕 娄大庆 王海珍[1] 胡兴兵 吴颖[1] 江庆[1] 刘斌[1] 

机构地区：[1]安庆市第一人民医院心内科,安徽省安庆246003

出　　处：《中国基层医药》2007年第11期1816-1817,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨冠状动脉介入在冠心病诊治中疗效及预后。方法经皮冠脉介入诊治冠心病患者31例,采用选择性冠状动脉造影,管腔狭窄≥75%者行PTCA和Stent术,术后观察患者心血管情况发生及预后。结果31例患者冠脉造影结果显示,管腔狭窄≥75%为18例,13例行PTCA和支架术,大多数行PTCA及支架术患者症状明显改善,生活质量明显提高,支架内再狭窄2例,死亡5例。结论选择性冠脉造影是诊断冠心病可靠方法,冠脉介入治疗能明显减轻冠心病患者症状,生活质量明显提高。Objective To study the effect and prognosis of percutaneous coronary intervention（PCI） for patients with coronary artery disease（CAD）. Methods Selected coronary angiography was performed in 31 patients with CAD. PTCA and stent implantation were performed in the patients of coronary stenosis（≥75 % in diameter）. The effect and prngnosis of coronary interventionary therapy in patients were observed. Results The results of coronary angiongraphy suggested there were 18 patiens of coronary stenosis（≥75 % in diameter）, PTCA and stent implantation were performed in 13 patients. Symptom was relieved greatly after the operation. There were 2 patients of coronary stenosis again,and 5 patients died. Conclusion Selected coronary angiography was an effective way to diagnose CHD. The coronery interventioned therapy was not only effective in relieving symptom, but also in improving the quality of life of patients with CAD.

关 键 词：冠状动脉疾病 血管成形术 经腔 经皮冠状动脉 

分 类 号：R541.4[医药卫生—心血管疾病]