急性心肌梗塞急诊冠状动脉介入治疗66例临床观察  

Emergent percutaneous coronary intervention on acute myocardial infarction: experience of 66 cases

作　　者：程典[1] 潘伟民[1] 叶红华[1] 陈晓敏[1] 孙静[1] 

机构地区：[1]浙江省宁波市第一医院心内科,315010

出　　处：《浙江临床医学》2003年第6期406-407,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 评价急诊冠状动脉介入 (PCI)治疗急性心肌梗塞 (AMI)的疗效。方法 66例AMI患者接受急诊PCI术 ,其中59例同时植入冠状动脉内支架。结果 急诊PCI成功62例 ,成功率为93.93%。59例获TIMI3级血流。术后死亡2例。术前梗塞相关血管狭窄程度为 (98.4±1.5) % ,术后残余狭窄为 (8.6±6.1) % (P<0.001)。术中心室颤动1例、心室扑动2例、房颤1例、2例出现无再流现象。随访1～48个月 ,平均25.5个月 ,有6例 (9.09% )发生支架内再狭窄。 结论 急诊PCI治疗AMI安全 ,成功率高 。To evaluate the efficacy and feasibility of emergent percutaneous coronary intervention (PCI) on acute myocardial infarction(AMI).Methods Emergent PCI was performed on 66 patients with AMI and intracoronary stenting was implanted in 59 patients. Results Emergent PCI was performed successfully on 62 patients (93.9%).Among them two patients were died and 59 patients obtained a coronary artery blood stream of TIMI degree 3 after PCI . The average stenosis degree of infarct vascular was dropped from 98.5±1.5% to 8.6±6.1%(p<0.001) after PCI. during PCI, ventricular fibrillation was found in 1 patient, atrial fibrillation was found in another patient and Ventricular flutter was found in 2 patients . Two patients showed no recanalization of blood flow . After 1～48 months(average 25.5 months)follow-up, restenosis of intracoronary stenting was found in 6 patients(9.09%) Conclusion Emergent PCI is safe and effective for AMI .It can decrease the degree of residual vascular stenosis associated with infarction.

关 键 词：急性心肌梗塞 急诊 介入治疗 临床观察 疗效 冠状动脉内支架 随访 

分 类 号：R542.22[医药卫生—心血管疾病]