急性心肌梗塞冠脉内溶栓与支架术疗效的比较  

Effectiveness of coronary artery thrombolysis and emergency stenting in patients with acute myocardial infarction

作　　者：牟春平[1] 杨光远[1] 张洪亮[1] 马振晶[1] 

机构地区：[1]佳木斯大学附属第一医院心内科,黑龙江佳木斯市154002

出　　处：《心血管康复医学杂志》2008年第4期386-388,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:观察急性心肌梗塞患者冠脉内溶栓及急诊置入支架术的效果。方法:根据冠状动脉造影资料,50例病人中,33例成功支架植入为支架组;17例不适合或支架失败者为冠脉内溶栓组,经导管注入50万单位尿激酶至梗塞相关血管,术中监测TIMI血流,再灌注性心律失常,心电图及心肌酶和心功能。结果:血管开通率,支架组达到97%,冠脉内溶栓组只达到59%,两组差异有显著性(P<0.05)。结论:植入支架是急性心肌梗塞患者恢复心肌血流灌注的最好方法。对于不适合植入支架者,冠脉内溶栓也是一种值得应用的方法。Objective： Effectiveness of coronary artery thrombolysis and emergency stenting in patients with acute myocardial infarction （AMI）. Methods： The 33 AMI patients accepted coronary angiography and stent implantation （stent group ） ; 17cases （coronary thrombolysis group） were treated with inject 500 000 units of urokinase to the infarction related artery （IRA）. The monitor of reperfuson arrhythmia, electrocardiogram, myocardial enzyme, TIMI changes on blood flow and heart function was performed in all subjects. Results.. Patent rate of IRA was 97.0% in stent group, it was more than that of coronary thrombolysis group （59%）, P〈0.05. Conclusion： Stenting is the best way for myocardial tissuse perfusion in AM1 patients. Coronary thrombolytic therapy is also a better way for myocardial tissue perfusion in AMI patients who are not suitable for stenting.

关 键 词：心肌梗塞 支架 血栓溶解疗法 

分 类 号：R542.22[医药卫生—心血管疾病]