急性心肌梗死时尿激酶溶栓加即刻准备的冠状动脉内支架置入术  

Immediate coronary stenting after thrombolysis with urokinase in acute myocardial infarction

作　　者：谭文锋[1] 余泽洪[1] 陈林祥[1] 汤立军[1] 冼伟进[1] 

机构地区：[1]广东省江门市人民医院心内科

出　　处：《岭南心血管病杂志》2002年第6期405-407,共3页South China Journal of Cardiovascular Diseases

摘　　要：目的　探讨急性心肌梗死 (AMI)时尿激酶溶栓加即刻血管造影 ,TIMIⅡ级或以下时进行冠状动脉内支架置入术 (支架术 )的安全性。方法　选择 1999年 1月至 2 0 0 1年 12月AMI(发病 6h以内 )患者 2 5例 ,常规应用尿激酶 (商品名 :天普洛欣 ) 15 0万U 0 5h内静脉滴注 ,其中 6例无创指标未见再通者 ,2 5例患者 90min后即刻血管造影 ,其中 13例TIMIⅡ级或以下者进行冠状动脉内支架置入术。结果　13例TIMIⅡ级或以下者均成功进行冠状动脉内支架置入术 ,术后冠脉血流均达到TIMIⅢ级 ,未见需要输血的严重出血并发症。结论　AMI时尿激酶溶栓加即刻准备的支架术安全。Objective To evaluate the safeness that infarct related artery(IRA)under TIMIⅡ flow had been implanted coronary stents after thrombolysis with urokinase and immediate angiography in acute myocardial infarction (AMI). Methods 25 patients with AMI (the onset of AMI in six hours)from January 1999 to December 2001 were droped intravenously urokinase 1 5 million unit in a half hour. IRA of 6 patients among the 25 patients had not been recanalized. The 25 patients were underwent immediate angiography after 90 minutes of thrombolysis with urokinase . IRA under TIMIⅡ flow of 13 patients among the 25 patients had been implanted coronary stents. Results IRA of the 13 patients had been successfully implanted coronary stents. TIMIⅢflow was achieved in The 13 patients. The 13 patients didn't occur serious bleeding complication. Conclusion Immediate coronary stenting after thrombolysis with urokinase in acute myocardial infarction is an effective and safe method.

关 键 词：冠状动脉内支架置入术 急性心肌梗死 尿激酶 静脉溶栓 AMI 

分 类 号：R542.22[医药卫生—心血管疾病]