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补救性冠脉支架置入患者血C-反应蛋白水平变化
引用本文:张丽,刘闯,王亚丽,张金盈. 补救性冠脉支架置入患者血C-反应蛋白水平变化[J]. 实用医药杂志(山东), 2008, 25(7): 769-771
作者姓名:张丽  刘闯  王亚丽  张金盈
作者单位:武警郑州消防支队卫生队;郑州大学第一附属医院老年病科;河南省公安消防总队医院;郑州大学第一附属医院心内科;
摘    要:
目的观察补救性冠脉支架置入对急性心肌梗死(AMI)患者C-反应蛋白(CRP)水平的影响。方法52例AMI静脉溶栓失败患者分为两组。A组32例,静脉溶栓失败2周后行冠状动脉造影并对病变血管置入冠脉支架;B组20例,溶栓失败90min内急诊对"罪犯血管"补救性置入冠脉支架。全部患者分别于溶栓前、后或补救性冠脉支架置入术后1、2、3、7d采集静脉血测定CRP水平。结果A组溶栓前CRP为(9.26±5.21)mg/L,支架置入后1、2、3d血清CRP水平和溶栓前比较无显著性差异(P>0.05),支架置入后7dCRP水平较溶栓前明显降低(≤3mg/L,P<0.01)。B组溶栓前CRP为(8.79±4.85)mg/L,溶栓及补救性冠脉支架术后1、2、3dCRP水平高于溶栓前(P<0.01);支架置入后第7d两组CRP水平比较无显著性差异(P>0.05)。结论AMI静脉溶栓失败行补救性冠脉支架置入术后血CRP水平升高明显,可能与局部炎症反应或局部血管内膜撕裂有关。

关 键 词:急性心肌梗死  C-反应蛋白  补救性冠状动脉介入支架

Effects of rescue percutaneous coronary stent on C-reactive protein levels in patients with acute myocardial infarction
ZHANG Li,LIU CHuang,WANG Ya-li,et al.. Effects of rescue percutaneous coronary stent on C-reactive protein levels in patients with acute myocardial infarction[J]. Practical Journal of Medicine & Pharmacy, 2008, 25(7): 769-771
Authors:ZHANG Li  LIU CHuang  WANG Ya-li  et al.
Affiliation:ZHANG Li,LIU CHuang,WANG Ya-li,et al. Health Team,Zhengzhou Fire Bureau,Zhengzhou 450006,China
Abstract:
Objective To observe the effects of delayed and rescue percutaneous coronary stent on Creactive protein levels in patients with acute myocardial infarction (AMI). Methods The 52 patients with AMI and defeat of thrombolysis were studied successively. The first 32 cases (group A) were diagnosed as failed of thrombolysis according to the dynamic change of ECG and myocardium enzyme. The another 20 cases (group B) were diagnosed as failed of thrombolysis according to the dynamic change of ECG and myocardium enzy...
Keywords:C-reactive protein Acute myocardial infarction Rescue percutaneous coronary stent  
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