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急诊冠脉介入治疗心肌梗死32例分析
引用本文:邓明尧,吴国平,罗桂娇,王光余. 急诊冠脉介入治疗心肌梗死32例分析[J]. 海南医学院学报, 2010, 16(8): 997-998,1003
作者姓名:邓明尧  吴国平  罗桂娇  王光余
作者单位:[1]海南省三亚市人民医院心内科,海南三亚572000 [2]海南医学院附属医院急诊科,海南海口570102
基金项目:海南医学院科研基金资助学报项目
摘    要:目的:评价急性ST抬高患者行直接经皮冠脉介入治疗(PCI)的心肌微循环灌注与临床疗效关系。方法:32例患者共置入34枚支架,观察患者住院期间及术后30d内症状、心功能,比较手术前、后心电图变化。结果:本组患者32例,支架置入成功率100%。32例患者症状较术前明显减轻,4例患者出现心功能不全症状,1例出现多脏器功能衰竭死亡。术后心电图较术前有所改善,住院期间及术后30d内不良事件发生率低。结论:急性ST抬高心肌梗死患者行直PCI是安全有效的。

关 键 词:经皮冠脉介入治疗  急性心肌梗死  支架

Percutaneous coronary intervention for 32 cases of myocardial infarction
DENG Ming-yao,WU Guo-ping,LUO Gui-jiao,WANG Guang-yu. Percutaneous coronary intervention for 32 cases of myocardial infarction[J]. Journal of Hainan Medical College, 2010, 16(8): 997-998,1003
Authors:DENG Ming-yao  WU Guo-ping  LUO Gui-jiao  WANG Guang-yu
Affiliation:1.Department of Internal Medicine,Sanya People's Hospital,Sanya 572000;2.Emergency Department,Affilated Hospital of Hainan Medical University,Haikou 570102,China)
Abstract:Objective:To evaluate the efficiency of percutaneous coronary intervention(PCI)transfer for treating patients with acute ST-elevation myocardial infarction.Methods:A total of 34 PCI stents were implanted to 32 patients,then observed patients' symptoms,cardiac functions during their hospital stay and 30 days after the surgery,compared the changes in electrocardio gram(ECG)before and after the surgery.Results:All PCI stents were successfully implanted,symptoms,and ECG in all patients were improved after the operation except cardiac dysfunction in 4 cases and multisystem and organ failure in 1 case(death).During hospital stay,and within 30 days after surgery,incidence of adverse events was low.Conclusion:Direct PCI transfer is safe and effective for acute ST-elevation myocardial infarction patients.
Keywords:Percutaneous coronary intervention Acute myocardial infarction Stent
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