急性心肌梗死急诊介入治疗的近期临床疗效观察

目的探讨急诊经皮冠状动脉介入治疗（急诊PCI）对sT段抬高型急性心肌梗死的近期临床疗效。方法对56例sT段抬高型急性心肌梗死患者“罪犯”血管行急诊PCI，共置入了66枚支架。观察术后TIMI血流、心电图抬高的sT段回落率和术后1月内主要不良心血管事件（MACE）。结果53例急诊PCI获成功，未发生与PCI相关的并发症，术后达TIMI3级血流53例，心电图ST段回落41例，术后1月内发生支架内亚急性血栓致死亡1例，其余未发生主要不良心血管事件。结论急诊PCI治疗急性sT段抬高型心肌梗死安全，近期疗效显著。

Recent Clinical Efficacy of Emergency Percutaneous Coronary Intervention for Patients with Acute Myocardial Infarction

Objective To investigate the recent clinical efficacy of Emergency pereutaneous coronary intervention（ PCI ）in the treatment of acute ST-segment elevation myocardial infarction（STEMI）. Methods 56 cases with STEMI were treated by emergency PC1,66 stents were successfully implanted. The operative TIMI blood flow,fallbaek of ST-segment, and major adverse cardi- ovascular events（MACE） within one mouth were observed. Results 53 patients were successfully treated by emergent PC and blood flow reached TIMI 3 level, there was no complications during the procedure. All patients were followed up 30 days, only 1 case died of stent subaeute thrombosis. Conclusion The emergent PCI was safe and effective for STEMI.