经皮冠状动脉内支架置入术治疗急性心肌梗死165例的效果  

Effect of percutaneous coronary intervention in 165 patients with acute myocardial infarction

作　　者：黄鼎三[1] 颜光烈[1] 陈诗泉[1] 林锋[1] 吴志勇[1] 郭延松[1] 关瑞锦[1] 陈威[1] 浦晓东[1] 陈新敬[1] 

机构地区：[1]福建医科大学省立临床医学院心内科,福建福州350000

出　　处：《心血管康复医学杂志》2012年第3期281-283,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨经皮冠状动脉内支架置入术(PCI)治疗急性ST段抬高型心肌梗死(STEMI)的临床疗效。方法:总结165例急性心肌梗死(AMI)患者的PCI临床资料。结果:入选的165例AMI患者中单支病变45例(27.3%),双支病变49例(29.7%),三支或三支以上病变71例(43.0%)。165例患者行PCI,成功率98.8%,共置入支架205枚。梗死相关血管为前降支(LAD)90例(54.5%),置入支架112枚;左回旋支(LCX)21例(12.7%),置入支架23枚;右冠脉(RCA)54例(32.7%),置入支架70枚。PCI术前出现心源性休克者18例(10.9%),2例于术后死亡。结论:急性心肌梗死行经皮冠状动脉内支架置入术疗效肯定。Objective： To study clinical effects of percutaneous coronary intervention （PCI） in patients with acute ST elevation myocardial infarction （STEMI）. Methods： The clinical data of 165 cases with acute myocardial infarction （AMI） undergoing PCI were annlyzed. Results： Among 165 patients, there were 45 patients （27. 3%） with single vessel coronary disease, 49 patients （29.7%） with double vessel coronary disease and 71 patients （43.0%） with triple or more vessel coronary disease. A total of 165 patients were performed PCI and success rate was 98. 8%. For infarct-related artery, 90 cases （54.5%） were left anterior descending artery （LAD） and 112 stents were implanted; 21 cases （12.7%） were left circumflex coronary artery （LCX） and 23 stents were implanted; 54 cases （32.7%） were right coronary artery （RCA） and 70 stents were implanted. A total of 18 patients （10.9%） occurred cardio- genic shock before PCI and in which two patient died because treatment failure. Conclusion： Percutaneous coronary intervention is safe, effective for patients with acute myocardial infarction.

关 键 词：心肌梗塞 血管成形术 经腔 经皮冠状动脉 支架 

分 类 号：R542.22[医药卫生—心血管疾病]