急性ST段抬高型心肌梗死直接PCI支架置入的必要性探讨  

The Essentiality of Primary Percutaneous Coronary Intervention with Direct Stenting for Patients with Acute ST-segment Elevation Myocardial Infarction

作　　者：赖碁[1,2] 光雪峰[1,2] 雷芸[1,2] 张伟华[1,2] 左明鲜[1,2] 尹小龙[1,2] 

机构地区：[1]昆明医学院附属延安医院 [2]云南心血管病医院心内科,云南昆明650051

出　　处：《昆明医学院学报》2010年第8期59-61,共3页Journal of Kunming Medical College

摘　　要：目的探讨急性ST段抬高型心肌梗死患者行直接PCI术时置入支架的时机.方法入选的90例急性ST段抬高型心肌梗死患者行直接PCI术时,有28例在球囊扩张后未置入支架,23例于两周后复查冠脉造影观察梗死相关动脉是否需要置入支架.结果本组病例约15.6%的患者不需要置入支架.结论急性ST段抬高型心肌梗死患者行直接PCI术时应采用必要性支架置入的治疗策略。Objective To discuss the optimum time of stenting in primary percutaneous coronary intervention for patients with acute ST-segment elevation myocardial infarction.Methods The selected 90 patiens with acute ST-segment elevation myocardial infarction underwent primary percutaneous coronary intervention.There were 28 cases who did not receive stenting after balloon dilation,we observed whether 23 patients need for stenting in infarct-related artery by rechecking coronary angiography after two weeks.Result There were 15.6% patients who didn＇t need stenting.Conclusion The patients with acute ST-segment elevation myocardial infarction need stenting treatment strategy when they undergo primary percutaneous coronary intervention.

关 键 词：急性ST段抬高型心肌梗死 经皮冠状动脉介入治疗 支架置入 

分 类 号：R542.22[医药卫生—心血管疾病]