高龄急性心肌梗死患者急诊介入治疗的临床分析  

Clinical analysis of emergency percutaneous coronary intervention for elderly patients with acute myocardial infarction

作　　者：刘健[1] 孙淑娴[2] 王伟民[1] 吴淳[1] 

机构地区：[1]北京大学人民医院心内科,北京100044 [2]唐山工人医院心内科,河北唐山063000

出　　处：《中华老年心脑血管病杂志》2004年第2期99-100,共2页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的　探讨高龄急性心肌梗死患者接受急诊经皮冠状动脉介入治疗 (PCI)的临床价值。方法　对 4 0例 75岁以上高龄急性心肌梗死患者 ,在发病 12h内对梗死相关动脉 (IRA)行急诊PCI治疗。结果　 4 0例患者梗死相关动脉共置入冠状动脉内支架 39枚 ,手术成功率 92 .5 % ,围手术期死亡 2例 (5 % ) ,其中脑出血 1例 ,心室颤动 1例。结论　高龄急性心肌梗死患者急诊PCI治疗安全、有效。Objective To evaluate the clinical significance of emergency percutaneous coronary intervention (PCI) for elderly patients with acute myocardial infarction (AMI).Methods Patients aged 75 years or more who underwent PCI were recruited. Clinical and angiographic data were reviewed.Results A total of 40 patients underwent such procedures.PCI was successful in 37 patients (92.5%).Two patients (5%) died during hospitalization,of whom one (2.5%) died of cerebral hemorrhage and another (2.5%) died of ventricular fibrillation.Conclusion Emergency percutaneous coronary intervention was an effective and safe method for the elderly patients with acute myocardial infarction.

关 键 词：心肌梗塞 血管形成术 经腔 经皮冠状动脉 支架 

分 类 号：R542.2[医药卫生—心血管疾病]