急性冠脉综合征患者介入治疗分析  

Clinical Characteristics of Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention Therapy

作　　者：李卫国[1] 陈开红[1] 方勇[1] 黄国勇[1] 

机构地区：[1]福建医科大学附属龙岩第一医院心内科,福建省龙岩市364000

出　　处：《实用心脑肺血管病杂志》2011年第10期1717-1718,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的观察急性冠脉综合征患者经皮冠状动脉介入治疗术(PCI)治疗的有效性和安全性。方法回顾分析2008年10月—2011年3月进行PCI治疗的475例急性冠脉综合征患者,其中急性ST段抬高心肌梗死200例,非ST段抬高心肌梗死60例,不稳定性心绞痛215例。分析所有患者冠状动脉的靶血管特点、手术成功率、并发症及术后随访情况。结果经皮冠状动脉内成形术(PTCA)成功率为97.5%,冠状动脉内支架植入术成功率为95.6%,其中A、B、C型病变成功率分别为100%、100%、93.6%。慢性完全闭塞病变血管34支成功率61.8%,严重并发症0.6%。结论 PTCA和冠状动脉内支架植入的成功率均达到95%以上,因此PCI治疗急性冠脉综合征是安全有效的。Objective To observe the efficacy and safety of percutaneous coronary intervention（PCI） in treating patients with acute coronary syndrome（ACS）.Methods A total of 475 patients with ACS undergoing PCI were analyzed from October 2008 until March 2011,including 200 cases with ST segment elevation myocardial infarction,60 cases with non ST segment elevation myocardial infarction and 215 cases with unstable angina.The clinical characteristics,success rate,complication rate and follow up were retrospectively analyzed.Results The success ratio of PTCA intracoronary stenting were 97.5% and 95.6%,respectively.The success rate for lesions were 100%,100% and 93.6% in type A,B and C respectively.Chronic totally occluded lesions were managed in 34 branches and the success rate was 61.8%.The rate of serious complication was 0.6%.Conclusion The success rate of PTCA and intracoronary stenting were both more than 95%.Therefore,the PTCA and intracoronary stenting was safe and effective in management for patients with ACS.

关 键 词：急性冠脉综合征 经皮冠状动脉腔内成形术 经皮冠状动脉介入治疗 冠状动脉内支架植入术 

分 类 号：R541.4[医药卫生—心血管疾病]