急性冠脉综合症介入治疗的临床观察

目的：观察急性冠脉综合症（ACS）病人经皮冠状动脉或形术（PTCA）或（和）支架置入术的安全性和有效性。方法：ACS病人不稳定型心绞痛18例,急性Q波性心肌梗死4例,非Q波心肌梗死1例。病变血管28支。单支病变6例、双支病变12例、三支病变5例,分别行PTCA和（或）支架置入术,结果：成功22例、失败1例、成功病例血管TIMI均恢复为Ⅲ级。随后2－20个月,2例有心绞痛发作,但均能用药物控制。结论：PTCA或（和）支架置入术是ACS病人安全而有效的治疗方法,也是目前治疗冠心病最有效的方法。

Clinical observation of coronary intervention for acute coronary artery syndrome

Objective To evaluate the efficiency and safety of percutaneous transluminal coronary angioplasty (PTCA) in acute coronary artery syndrome (ACS) . Methods PTCA or PTCA with coronary artery stent (CS) were performed in all patients , in which 18 patients with unstable angina pectoris, 4 patients with Q-wave myocardial infarction, 1 patient with non Q-wave myocardial infarction; and 6 patients with single-vessel coronary disease, 12 patients with double-vessel coronary diasease, 5 patients with triple-vessel coronary disease. Resaults PTCA were succeed in 22 patients , in which all of them were TIMI I flow. With follow-up 2-20 months , there were angina attack in 2 patients, which can be controlled by taking medicine.Conclusions PTCA+CS is a efficient and safety therapeutic maneuver in patients with ACS.