急诊介入技术治疗急性心肌梗塞  

Emergent interventional treatment of patient with acute myocardial infarction

作　　者：韩雅玲[1] 荆全民[1] 王守力[1] 佟铭[1] 王祖录[1] 苗志林[1] 栾波[1] 杨文[1] 刘莹[1] 李振荣[1] 郑晶[1] 孙桂琴[1] 王冬梅[1] 李菲[1] 

机构地区：[1]沈阳军区总医院心内科,110015

出　　处：《中国介入心脏病学杂志》1998年第3期103-104,共2页Chinese Journal of Interventional Cardiology

摘　　要：1995年 1 2月至 1 997年 1 2月共对 3 2例急性心肌梗塞 (AMI)病人施行急诊经皮腔内冠状动脉成形术 (PTCA) ,其中 1 8例置入冠脉内支架 2 0枚。直接PTCA 2 3例 ,补救性PTCA 9例。病人年龄 3 8～ 86岁 ,1 9例为多支病变 ,1 0例并发心源性休克。介入治疗后梗塞相关动脉 (IRA)全部开通 ,无手术并发症。术后 3 1例恢复TIMI 3级血流灌注 ,1例 2级。心源性休克病死率 3 0 %。对存活出院的 2 9例随访 1～ 2 5个月无室壁瘤、心力衰竭及死亡者 ,1例术后半年再发AMI。提示急诊介入治疗能明显降低AMI病死率 ,并具有良好的远期疗效。Emergent percutaneous transluminal coronary angioplasty (PTCA) was performed in 32 acute myocardial infarction (AMI) patients from December 1995 to December 1997,among them 18 patients were implanted 20 coronary stents Primary PTCA was performed in 23 patients and rescuing PTCA in 9 The patients′ ages ranged from 38 to 86 year all with 19 multivessel diseases and 10 cardiogenic shock After intervention the infarct related arteries (IRA) were all opened and 31 patients restored TIMI 3 flow and 1 restored 2 flow There was no procedure complication The hospital mortality for cardiogenic shock patients was 30% We followed up 29 discharged patient for 1 to 25 months and found that they are all survival without aneurysm and heart failure except 1 reinfarction The above results suggests that emergent coronary intervention can significantly decrease mortality and has good long term effect for AMI patients

关 键 词：心肌梗塞 血管成形术 冠状动脉 支架 治疗 

分 类 号：R542.220.5[医药卫生—心血管疾病]