左室急性心肌梗死急诊介入治疗与择期介入的对比分析  

Comparative analysis of emergency intervention and elective intervention in the treatment of left ventricular acute myocardial infarction

作　　者：刘倩[1] 梁传亮 唐志远[1] 

机构地区：[1]湖南省石门县人民医院心血管内科,湖南石门415300

出　　处：《中国医药科学》2012年第16期187-188,共2页China Medicine And Pharmacy

摘　　要：目的探讨左室急性心肌梗死急诊介入与择期介入对心室重构和心脏功能的影响。方法选取笔者所在医院门诊确诊并收治的76例初次左室急性心肌梗死患者,随机分为急诊组(24h内)52例、延迟1组(24h～2周)18例和延迟2组(2周以上)6例,心肌梗死术前及术后3、6个月分别进行心脏功能的测量和舒张末期内径的测定。结果急诊组及延迟1组术后3、6个月心脏功能明显改善,差异有统计学意义(P<0.05);急诊组、延迟1组术前和术后3、6个月舒张末期内径均较延迟2组小,差异有统计学意义(P<0.05)。结论左室急性心肌梗死急诊介入及延迟(12h～2周)介入均能对心室重构和心脏功能有所改善。Objective To explore the effect of emergency intervention and elective intervention in the treatment of left ventricular acute myocardial infarction.Methods Selected 76 cases with initial left ventricular acute myocardial infarction from our hospital were divided randomly into emergency group which was within 24 hours,delayed group 1 of 24 hours to 2 weeks and delayed group 2 which was more than 2 weeks.Respectively measured cardiac function and determined enddiastolic diameter before surgery and after 3 months and 6 months.Results The cardiac function of emergency group and delayed group 1 were significant improved after surgery 3 months and 6 months,and there was significant difference（P0.05）.The end-diastolic diameters of emergency group and delayed group 1 were smaller than delayed group 2 before surgery and after 3 months and 6 months,and there was significant difference（P 0.05）.Conclusion Emergency intervention and elective intervention of 24 hours to 2 weeks both can improve ventricular remodeling and heart function.

关 键 词：左室急性心肌梗死 急诊 择期介入 对比 

分 类 号：R542.2[医药卫生—心血管疾病]