冠状动脉内支架术治疗急性心肌梗死疗效观察(附5例报告)  

INTRACORONARY STENTING IN ACUTE MYOCARDIAL INFARCTION: A REPORT OF 5 CASES

作　　者：李起栋[1] 洪钰锟[1] 廖凯[1] 游健友[1] 黄红雨[1] 曹春华[1] 

机构地区：[1]解放军第171医院内二科,九江332000

出　　处：《九江医学》2004年第1期10-11,共2页Jiujiang Medical Journal

摘　　要：目的 :观察冠状动脉内支架术治疗急性心肌梗死 (AMI)的疗效。方法 :对 5例AMI置入冠状动脉内支架的连续观察病例进行分析。结果 :5例AMI患者中 ,梗死相关血管为前降支 4例 ,左回旋支 1例。共置入支架 5个。术后残余狭窄程度由术前 99%～ 10 0 %降至术后 10 %～ 5 % (P <0 0 0 1)。手术成功 10 0 %。随访 1～ 6个月 ,无心脏事件发生。结论 :冠状动脉内支架治疗急性心肌梗死是有效的 ,早期效果好且可降低再梗死发生率 ,并明显减少再次的靶血管血运重建。Objective:To investigate efficacy of intracoronary stenting in acute myocardial infarction. Method:5 patients with acute myocardial infarction were treated by intracoronary stenting.Results:Of the 5 patients, 4 were anterior descending artery block and 1 left circumflex block. 5 stents were implanted. Postoperatively residual stenosis extent was reduced to 10%～5% from 99%～100% preoperatively (P<0.001). No death occurred during hospitalization and no cardiac accidents in the 1～6 month follow-up, either.Conclusion:The intracoronary stenting is effective to acute myocardial infarction in the studied cases and can reduce incidence of reinfarction and revascularization of target artery.

关 键 词：冠状动脉内支架术 急性心肌梗死 AMI 出血性卒中 并发症 

分 类 号：R542.22[医药卫生—心血管疾病] R654.2[医药卫生—内科学]