急性心肌梗死80岁以上高龄患者急诊介入的临床效果  

Clinical efficacy of emergent interventional treatment for patients aged ≥80 years with acute myocardial infarction

作　　者：李志枚[1] 甘继宏[1] 苏海明[1] 苏伟[1] 李梦琪[1] 严丽丽[1] 沈倩波[1] 魏亚娜[1] 申建萍[1] 马茂儒[1] 

机构地区：[1]兰州军区乌鲁木齐总医院心内科,新疆乌鲁木齐830000

出　　处：《西北国防医学杂志》2011年第5期345-347,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨80岁以上的高龄的急性心肌梗死(AMI)患者急诊介入治疗(PCI)的疗效及安全性。方法:对24例平均年龄(84.0±3.7)岁的急性心梗患者进行PCI,观察手术即刻效果及近远期疗效。结果:22例取得即刻成功(成功率91.7%),共对32支靶病变血管行PCI,共植入支架41(平均1.7±0.8)枚。15支IRA为完全闭塞病变,即刻开通14支,院内死亡4例。平均随访(18.5±14.8)月,14例未再出现心绞痛,1例术后8月死于肺癌。结论:急诊PCI对80岁以上的高龄AMI患者来说,仍是一种安全、有效的治疗手段。Objective：To evaluate the efficacy and safety of emergent percutaneous coronary intervention （PCI） in patients aged ≥80 years with acute myocardial infarction （AMI）. Methods： Short and long -term outcomes of 24 consecutive patients aged ≥80 years （ the mean age 84.0±3.7 years） with AMI undergoing primary PCI were evaluated. Results： Twenty-two patients were successfully treated by PCI （success rate were 91.7% ）. A total of 41 stents were implanted in 32 crime vessels （the mean stents 1.7±0.8 for every crime vessel）. Fifteen infarction related arteries （IRA） were total occlusion vessels, 14 IRA were opened directly. Four death occurred in hospital. Twenty discharged patients were followed up for 18.5±14.8 months （from 2 to 55 months）, 14 patients had no chest pain and 1 death occurred by lung cancer after operation for 8 months. Conclusion： Emergent PCI is a safe and high effective procedure in patients aged ≥80 years with acute myocardial infarction.

关 键 词：急性心肌梗死 高龄 冠心病 介入 急诊 

分 类 号：R542.22[医药卫生—心血管疾病]