39例不稳定性心绞痛病人的介入治疗临床观察  

Therapeutic observation of percutaneous transluminal coronary angoplasty and coronary stenting in unstable angina pectoris

作　　者：董平栓[1] 杨旭明[1] 宋润珞[1] 尚喜艳[1] 刘福喜[1] 

机构地区：[1]洛阳医学高等专科学校附属医院心内科,河南洛阳471003

出　　处：《河南医学研究》2001年第3期237-238,共2页Henan Medical Research

摘　　要：目的 :观察 39例不稳定性心绞痛病人经皮腔内冠状动脉成形术 (PTCA)、支架植入术后的即刻疗效及随访结果。方法 :35例经内科药物治疗 2周后病情平稳行冠状动脉造影及PTCA ,4例因药物不能控制的心绞痛而作紧急PTCA术。结果 :PTCA成功 36例 ,病变共 76处 ,5 3处被治疗 ;植入支架 37只 ,成功率 97 6 %。术后病人心绞痛症状均缓解 ;平均随访 9个月 ,30例心绞痛症状完全消失 ,6例病人有时出现胸闷 ,但发作次数明显减少。病人心功能、心电图明显改善。结论 :不稳定性心绞痛病人应尽早做冠状动脉造影及介入治疗 。Objective: To observe the instant efficacy and follow result of percutaneous transluminal coronary angoplasty and coronary stenting in 39 patients with unstable angina pectoris.Methods: 35 cases underwent coronary angiography and PTCA after 2 week medical drug treatment and after patient condition were stable. 4 cases with angina pectoris uncontrolled by drugs had emergency PTCA.Results: In all patients, 36 cases underwent successful PTCA. 53 of 76 lesions were treated. 37 stents were implanted and the success rate was 97.6%. The anginous symptom of all patients were relieved after operation. The follow up period was average 9 months. During the period, the angious symptoms in 30 cases were completely vanished, and 6 cases sometimes had chest distress but the freqency were signficantly decreased. The cardiac function and electorcardiogram of all patients were remarkably improved.Conclusion: The patients with unstable angina pectoris and interventional as early as possible. The success rate is high.

关 键 词：不稳定性心绞痛 血管成形术 支架 介入治疗 

分 类 号：R654.2[医药卫生—外科学] R541.405[医药卫生—临床医学]