直接经皮腔内冠状动脉成形术治疗急性心肌梗塞  

Treatment of AMI with direct PTCA

作　　者：江隆福[1] 游卫华[1] 梁岩[1] 潭白桦 王文尚[1] 

机构地区：[1]广东茂名市人民医院,525000

出　　处：《中国介入心脏病学杂志》1997年第4期165-166,共2页Chinese Journal of Interventional Cardiology

摘　　要：1995年8月至1996年10月急性心肌梗塞（AMI）胸痛后1．0～6．0小时（平均3．6±1．2小时）入院患者28例行直接经皮腔内冠状动脉成形术（PTCA），结果：25例（89．3％）血管再通，再通血管残留狭窄平均为14．5％±10．3％（0％～40％），血管再通距胸痛发病时间平均为5．6±2．2小时（3～9小时），23例再通存活患者中1例（4．3％）发生梗塞后早期（起病后30天内）心绞痛，认为直接PTCA在AMI治疗中占有重要位置。From august, 1995 to october, 1996, 28 cases of acute myocardial infraction (AMI) in-patients after they suffered from thorcalgia 1.0 or 6.0 hours (average 3. 6±1. 2 hours) were directly treated by percutaneous transluminal coronary angioplasty (PTCA). 25 cases acquired the coronary atery repatency. The averages of remained stenosis in repatency coronary aterys were 14.5 % ±10. 3% (0% ~4% ). The arerage time from thorcalgia happening to coronary atery repatency acquired was 5. 6± 2. 2hours (3~ 9 hours). One of the 23 cases of the repatency survivals suffered from premature angina pectoris (in 30 days). The report showed that PTCA was an importent measure of treatment in AMI.

关 键 词：心肌梗塞 血管成形术 经腔 经皮冠状动脉 治疗 

分 类 号：R542.220.5[医药卫生—心血管疾病]