老年人急性心肌梗死急诊冠状动脉内支架治疗  

Emergency intracoronary stenting for senile patients with acute myocardial infarction

作　　者：徐泽升[1] 齐晓勇[2] 韩立宪[1] 王贵松[1] 高巍[1] 元柏民[1] 

机构地区：[1]沧州市中心医院心内科,061001 [2]河北省人民医院心脏中心

出　　处：《中国介入心脏病学杂志》2003年第1期36-37,共2页Chinese Journal of Interventional Cardiology

摘　　要：目的　评价急诊冠状动脉 (冠脉 )内支架治疗老年人急性心肌梗死 (AMI)的临床疗效。方法　对比分析 84例老年与 88例非老年人AMI急诊冠脉内支架术结果。结果　老年组 84支梗死相关血管 ,置入支架 86枚 ,围手术期死亡 2例 ,手术成功率为 97 6 % ;非老年组 88支梗死相关血管 ,置入支架 88枚 ,围手术期死亡 1例 ,手术成功率 98 9%。老年组与非老年组支架特点及出院时左室射血分数差异无显著性。两组均无严重的出血并发症。结论　老年人AMI急诊冠脉内支架治疗安全有效。Objective To evaluate the clinical outcomes of emergency intracoronary stenting for senile patients with acute myocardial infarction (AMI). Methods Eighty-four senile patients with AMI underwent emergency intracoronary stenting were compared with eighty-eight non-senile patients with AMI. Results Eighty-six stents were implanted in eighty-four infarction related arteries (IRA), two patients died during hospitalization,the procedural success rate was 97.6% in senile group. Eighty-eight stents were implanted in eighty-eight IRA, one patient died during hospitalization, the success rate was 98.9% in non-senile group. There was no significant difference in characteristic of stents, bleeding complication and LVEF between the senile group and the non-senile group.Conclusion Emergercy intracoronary stenting was an effective and safe therapeutic maneuver for the senile patients with AMI.

关 键 词：老年人 急性心肌梗死 急诊 冠状动脉内支架 治疗 

分 类 号：R542.22[医药卫生—心血管疾病] R815[医药卫生—内科学]