急诊经皮冠状动脉介入治疗急性心肌梗死35例  

Emergency percutaneous coronary interventional in treatment of 35 cases of acute myocardial infarction

作　　者：苏振琪 袁争百 韩宏华[1] 陈大顺 

机构地区：[1]安徽省淮北矿工总医院心内科,淮北235000

出　　处：《临床医学》2009年第9期8-9,共2页Clinical Medicine

摘　　要：目的探讨急诊经皮冠状动脉介入治疗急性心肌梗死的临床疗效及安全性。方法35例急性心肌梗死患者直接行冠脉造影术和梗死相关动脉介入治疗(急诊PC I组);39例急性心肌梗死患者行静脉溶栓(对照组)进行对比研究。结果急诊PC I组冠脉再通率高于对照组;平均住院天数、梗死后心绞痛、心源性休克发生率、总死亡率和室性心律失常发生率明显低于对照组(P<0.01)。结论急性心肌梗死急诊冠脉介入治疗安全性高、死亡率低、血管再通率高、住院天数短,是一种有效的治疗方法。Objective To discuss efficacy and safety of emergency percutaneous coronary interventional in treatment of acute myocardial infarction. Methods Thirty - five cases of acute myocardial infarction patients with direct coronary artery angiography and interventional treatment of infarctrelated artery （emergency PCI group） , and 39 cases were treated with thrombolysis （control group B）. Results The coronary recanalization rate was higher in emergency PCI group （ P 〈 0.01 ） ; The average length of hospital stay, post - infarction angina pectons, the total mortality and the incidence of cardiogenic shock and ventricular arrhythmias were significantly lower in emergency PCI group than that in control group （ P 〈 0.01 ）. Conclusion Treated with emergency intervention in acute myocardial infarction is safe and had higher vascular recanalization, lower mortality, shorter length of hospital stay. It is an effective treatment method of acute myocardial infarction.

关 键 词：急性心肌梗死 静脉溶栓 急诊介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病]