急诊经皮腔内冠状动脉成形术治疗老年急性心肌梗塞30例  

Emergency Percutaneous Transluminal Coronary Angioplasty for 30 Cases of Senile Acute Myocardial Infarction

作　　者：谭白桦[1] 黄权[1] 江隆福[1] 

机构地区：[1]广东省茂名市人民医院心内科

出　　处：《华夏医学》1998年第3期43-44,共2页Acta Medicinae Sinica

摘　　要：目的：观察老年急性心肌梗塞急诊经皮腔内冠状动脉成形术（ＰＴＣＡ）的疗效及安全性。方法：对３０例老年急性心肌梗塞（ＡＭＩ）患者其中男２５人，女５人，行急诊ＰＴＣＡ治疗。结果：共扩张梗塞相关血管３０支，成功率９０％。血管狭窄由术前平均９６．７％±５．３％减少到术后１１．１％±８．９％。４例合并心源性休克，３例成功。２例急性冠状动脉闭塞，其中１例经冠脉内注射硝酸甘油缓解，另１例经静脉溶栓无效死亡。失败的３例均为完全闭塞性病变，１例为球囊未通过病变处，另２例均为导丝未能通过病变处。结论：对无禁忌证的老年ＡＭＩ患者行急诊ＰＴＣＡ治疗是安全有效的。Purpose:To observe the curative effects and safty of emergency percutaneors transluminal coronary angioplasty (PTCA) for senile acute myocardial infarction(AMI).Methods:Emergency PTCA was conducted for 30 cases (male:25,female:5) of senile AMI.Results:Dilatation was performed for 30 vessels related to infarction.The success rate was 90%.Angiostenosis decreased from preoperative 96.7%±5.3% on average to postoperative 11.1%±8.9%.Four cases were complicated by cardiogenic shock,this measure was successful in 3 cases.One of two cases of acute coronary occlusion was relieved by injecting nitroglycerin into coronary artery and the other one died from failure of intravenous thrombolysis.The defeated three cases were of complete obliterating pathological changes:one was due to the saccule did not pass throgh the lesion and the other two were due to the conducting wire did not pass through the lesions.Conclusion:Emergency PTCA for senile AMI patients without contraindications was an effective and safe measure.

关 键 词：心肌梗塞 老年人 冠状动脉 血管成形术 

分 类 号：R542.22[医药卫生—心血管疾病]